| Bullard Dental | |
|
5008 W. University Blvd. Durant OK 74701-2978 | |
| (580) 931-3366 | |
| (580) 931-3390 |
| Full Name | Bullard Dental |
|---|---|
| Speciality | Dentist |
| Location | 5008 W. University Blvd., Durant, Oklahoma |
| Authorized Official Name and Position | Blake Michael Bullard (OWNER) |
| Authorized Official Contact | 5809313366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bullard Dental 5008 W. University Blvd. Durant OK 74701-2978 Ph: (580) 931-3366 | Bullard Dental 5008 W. University Blvd. Durant OK 74701-2978 Ph: (580) 931-3366 |
| NPI Number | 1770993180 |
|---|---|
| Provider Enumeration Date | 05/07/2014 |
| Last Update Date | 07/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770993180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6022 (Oklahoma) | Primary |
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