Luther B Bullock is a Dentist in Salem, Oregon. Luther B Bullock practices all healthcare services and medical treatments related to Dentist. The NPI Number for Luther B Bullock is 1063584530. The last update date is 2012-01-12.
Luther B Bullock's current location address is 3694 Bayonne Dr., Salem, Oregon. You can contact this provider via phone number 5036891838. The mailing address for Luther B Bullock is 3694 Bayonne Dr., Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Luther B Bullock |
|---|---|
| Address | 3694 Bayonne Dr., Salem, Oregon |
| Phone Number | 5036891838 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1063584530 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2012-01-12 |
Provider Mailing Address Detail
| Address | 3694 Bayonne Dr. |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973175393 |
| Phone Number | 5036891838 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D8385 |
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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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What is the unique 10-digit identification code assigned to Luther B Bullock by the Centers for Medicare & Medicaid Services?
The Luther B Bullock has been issued the NPI (National Provider Identifier) 1063584530, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Luther B Bullock is physically located?
The Luther B Bullock is situated at the following address: 3694 Bayonne Dr., Salem, OR 973175393.
What is Luther B Bullock's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Luther B Bullock is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063584530 to Luther B Bullock?
The Luther B Bullock received its 1063584530 assignment from the Centers for Medicare & Medicaid Services on 2006-11-13.
When was the information related to Luther B Bullock most recently updated or refreshed?
The details pertaining to the Luther B Bullock, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-01-12.