Dr Robert B Pultz, in Niagara, WI - Dentist

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.

Contact Information

	Dr Robert B Pultz,
	621 Washington Ave, Niagara, WI 54151
	(715) 251-1486
	Not Available

Healthcare Provider's Profile

Full Name	Dr Robert B Pultz
Gender	Male
Speciality	Dentist
Location	621 Washington Ave, Niagara, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

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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Dr Robert B Pultz, - Dentist in Niagara, WI