Blake M. Bullard is a Dentist in Durant, Oklahoma. Blake M. Bullard practices all healthcare services and medical treatments related to Dentist. The NPI Number for Blake M. Bullard is 1548421852. The last update date is 2018-06-20.
Blake M. Bullard's current location address is 5008 W. University Blvd., Durant, Oklahoma. You can contact this provider via phone number 5809313366 and fax number 5809313390. The mailing address for Blake M. Bullard is 5008 W. University Blvd., Durant, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Blake M. Bullard |
|---|---|
| Address | 5008 W. University Blvd., Durant, Oklahoma |
| Phone Number | 5809313366 |
| Fax Number | 5809313390 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1548421852 |
|---|---|
| Provider Enumeration Date | 2008-06-19 |
| Last Updated Date | 2018-06-20 |
Provider Mailing Address Detail
| Address | 5008 W. University Blvd. |
|---|---|
| City | Durant |
| State | Oklahoma (OK) |
| Post Code | 74701 |
| Phone Number | 5809313366 |
| Fax Number | 5809313390 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 6022 |
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Definition: 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: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200203570A | OK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Blake M. Bullard by the Centers for Medicare & Medicaid Services (CMS)?
The Blake M. Bullard has been assigned the NPI (National Provider Identifier) 1548421852. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Blake M. Bullard located?
The Blake M. Bullard is located at 5008 W. University Blvd., Durant, OK 74701.
What is the Blake M. Bullard's specialty and taxonomy code?
The Blake M. Bullard's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When did the Blake M. Bullard receive its 1548421852?
The Blake M. Bullard was issued its 1548421852 on 2008-06-19, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Blake M. Bullard last refreshed?
The information related to the Blake M. Bullard, including its address, specialty, and other relevant details, was last updated on 2018-06-20.