Mark Richmond Bullock in Abilene - Dentist
Mark Richmond Bullock - NPI 1962419697
Mark Richmond Bullock is a Dentist in Abilene, Texas. Mark Richmond Bullock practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark Richmond Bullock is 1962419697. The last update date is 2012-04-04.
Mark Richmond Bullock's current location address is 1034 N Willis St, Abilene, Texas. You can contact this provider via phone number 3256738164. The mailing address for Mark Richmond Bullock is 1034 N Willis St, Abilene, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Richmond Bullock |
|---|---|
| Address | 1034 N Willis St, Abilene, Texas |
| Phone Number | 3256738164 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1962419697 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2012-04-04 |
Provider Mailing Address Detail
| Address | 1034 N Willis St |
|---|---|
| City | Abilene |
| State | Texas (TX) |
| Post Code | 796034622 |
| Phone Number | 3256738164 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 22775 |
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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 |
|---|---|---|---|
| 2831067 | TX | -- | |
| 22775 | TX | LICENSE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark Richmond Bullock by the Centers for Medicare & Medicaid Services?
The Mark Richmond Bullock has been issued the NPI (National Provider Identifier) 1962419697 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Mark Richmond Bullock's physical address?
The Mark Richmond Bullock is physically located at 1034 N Willis St, in the city of Abilene, TX, with the postal code 796034622.
What is Mark Richmond Bullock's area of expertise and its corresponding taxonomy classification?
The Mark Richmond Bullock's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1962419697 to Mark Richmond Bullock?
The Centers for Medicare & Medicaid Services assigned the 1962419697 to Mark Richmond Bullock on 2006-08-02.
When was the Mark Richmond Bullock's information last updated?
The Mark Richmond Bullock's information was last updated on 2012-04-04.