Dr Robert B Pultz, is a
Dentist based in Niagara, Wisconsin. Dr Robert B Pultz is licensed to practice in Wisconsin (license number 3804) and his current practice location is
621 Washington Ave, Niagara, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 251-1486.
NPI number for Dr Robert B Pultz is 1740403260 and his current mailing address is Po Box 23, 621 Washington Ave, Niagara, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740403260.
Healthcare Provider's Profile
| Full Name | Dr Robert B Pultz |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 621 Washington Ave, Niagara, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1740403260
- Provider Enumeration Date: 04/11/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Robert B Pultz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740403260 | NPI | - | NPPES |
| 33496400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 3804 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Robert B Pultz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Robert B Pultz,
Po Box 23, 621 Washington Ave,
Niagara, WI 54151
Ph: (715) 251-1486 | Dr Robert B Pultz,
621 Washington Ave,
Niagara, WI 54151
Ph: (715) 251-1486 |
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