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Active NPI 1669704300 Individual Practitioner Male Practitioner

Dr. Jonathan Bultema , DDS

Dentist - General Practice • Horace, ND

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Bultema, DDS is a registered healthcare professional specializing in Dentist - General Practice in Horace, ND. Practice services are available at 594 MAIN ST N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

594 Main St N

Horace, ND 580474640

Telephone 7015526001
Fax 7017818056
Associated Practice Facility / Clinic
🏢 Maple Family Dental P.c. Facility NPI 1487105276

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Horace, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Horace, ND (294 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ND 2046

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist

NUCC Taxonomy Code: 122300000X

State License SD D1036

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License MN 13339

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1451030 (ND)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1255169561

Doctor of Dental Surgery

NPI 1730754847

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active February 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 07, 2017

Registered at 594 MAIN ST N, HORACE, ND 580474640 (Tel: 7015526001)

📍
Updated Business Mailing Address February 07, 2017

Registered at 594 MAIN ST N, HORACE, ND 580474640 (Tel: 7015526001)

👤
Provider Name / Credentials Updated February 07, 2017

Recorded as JONATHAN BULTEMA, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2017

Dentist (License #13339 in MN)

NPI Profile Active October 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 18, 2016

Registered at 594 MAIN ST N, HORACE, ND 580474640 (Tel: 7015526001)

📍
Updated Business Mailing Address October 18, 2016

Registered at 594 MAIN ST N, HORACE, ND 580474640 (Tel: 7015526001)

👤
Provider Name / Credentials Updated October 18, 2016

Recorded as JONATHAN BULTEMA, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2016

Dentist (License #13339 in MN)

🟢
Initial NPI Registration & Enumeration February 05, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669704300
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 05, 2010
Last Update: February 07, 2017
Sole Proprietor: Yes

Mailing Address

594 Main St N

Horace, ND 580474640

Phone: 7015526001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.