Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104434695 Individual Practitioner Male Practitioner

Adrian Bertulfo

Dentist • Prosper, TX

Professional Overview & Biography Verified Profile Summary

Adrian Bertulfo is a registered healthcare professional specializing in Dentist in Prosper, TX. Practice services are available at 900 S PRESTON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

900 S Preston Rd

Prosper, TX 750785143

Telephone 4694590403

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Prosper, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
19 Specialists

Practicing in Prosper, TX (6851 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

CMS Verified: 2022-07-14
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX 36338

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 - General Practice

NUCC Taxonomy Code: 1223G0001X

State License TX 36338

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.

Secondary Practice Locations

1739 N Central Expy Ste 100

Mckinney, TX 750703141

Phone: 9725409191

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1588122808

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location July 14, 2022

Registered at 900 S PRESTON RD, PROSPER, TX 750785143 (Tel: 4694590403)

NPI Profile Active July 21, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 21, 2020

Registered at 1739 N CENTRAL EXPY STE 100, MCKINNEY, TX 750703141 (Tel: 9725409191)

📍
Updated Business Mailing Address July 21, 2020

Registered at 417 ADVENTUROUS SHIELD DR, LEWISVILLE, TX 750565409 (Tel: 2144258576)

👤
Provider Name / Credentials Updated July 21, 2020

Recorded as ADRIAN BERTULFO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2020

Dentist (License #36338 in TX)

🟢
Initial NPI Registration & Enumeration July 21, 2020

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: 1104434695
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2020
Last Update: July 14, 2022
Sole Proprietor: No

Mailing Address

417 Adventurous Shield Dr

Lewisville, TX 750565409

Phone: 2144258576

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.