Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

CARL BRUCE BULLEN DDS
NPI 1295794113
Dentist - Orthodontics and Dentofacial Orthopedics in Kingman, AZ

Active since March 20, 2006
1143 RIATA VALLEY RD, KINGMAN, AZ 86409(928) 757-8700 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carl Bruce Bullen Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARL BRUCE BULLEN DDS (NPI 1295794113) is an individual orthodontics and dentofacial orthopedics provider in Kingman, Arizona, licensed in Arizona (3921) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1295794113
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameCARL BRUCE BULLENCredential: DDS
Location Address1143 RIATA VALLEY RDKingman, AZ 86409-2978
Mailing Address1143 Riata Valley RdKingman, AZ 86409-2978
Sole ProprietorNo
Enumeration DateMarch 20, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1295794113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in AZ · 3921
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

1143 RIATA VALLEY RD, Kingman, AZ 86409

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1143 RIATA VALLEY RD
KINGMAN, AZ 86409
Dentist (Orthodontics and Dentofacial Orthopedics)
1143 RIATA VALLEY RD
KINGMAN, AZ 86409

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295794113, enumerated as an "individual" on March 20, 2006.

The provider is located at 1143 RIATA VALLEY RD KINGMAN, AZ 86409 and the phone number is (928) 757-8700.

Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.