Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark Frederick Pultman, DDS

Individual provider General Practice Dentistry · NPI 1053352039

Dr. Mark Frederick Pultman, DDS is a General Practice Dentistry in Bridgeton, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

12758 Boenker Ln
Bridgeton, MO 63044-2436
Phone: (314) 739-3300
Fax: (314) 739-0005
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 11328 (MO)

Record details

NPI number1053352039
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 9, 2006
Last updated in NPPESJuly 13, 2026

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