Gary R. Pulfer DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12006979 Issued in IN

Legal business name

GARY R. PULFER DDS, PC

Practice address

1405 Medical Park Dr
Fort Wayne, IN 46825-5831

Phone

(260) 482-4483

Fax

(260) 471-9889

NPI assigned

Oct 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gary Ray Pulfer, DDS

Title

President

Phone

(260) 482-4483

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1467549600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 MEDICAL PARK DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255831",
            "telephone_number": "260-482-4483",
            "fax_number": "260-471-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 MEDICAL PARK DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255831",
            "telephone_number": "260-482-4483",
            "fax_number": "260-471-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY R. PULFER DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "PULFER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-482-4483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12006979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200829910A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashtyn Garver
• Melanie Nicole Garvin
• Eileen Garwood, P.H.D, MT-BC
• Gary L. Gotsch DDS MSD
• Gary L. Gotsch DDS, MSD, LLC
• Erin S Garzon, MBA, ATC
• Rebecca Sue Gascoyne, FNP-BC
• Melissa Rochelle Gasmen, PHARMD
• Selena Gasnarez, RBT
• Bailey Gasper, LMHCA

• General Practice Dentistry in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.