Provider Demographics
NPI:1407746464
Name:PULLAS, GERALDINE (DDS)
Entity type:Individual
Prefix:DR
First Name:GERALDINE
Middle Name:
Last Name:PULLAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6055 NW 105TH CT APT 407
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-6673
Mailing Address - Country:US
Mailing Address - Phone:786-608-3994
Mailing Address - Fax:
Practice Address - Street 1:12260 SW 8TH ST STE 226
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-1549
Practice Address - Country:US
Practice Address - Phone:305-553-0666
Practice Address - Fax:305-553-0933
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN306091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice