Bullard, Richard L

Bullard, Richard L is an individual health care provider with primary practice located at 622 N Main St , Cleburne TX 76033-3842. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bullard, Richard L can be contacted via phone (817) 517-7557.

Contact Information

Primary practice address
622 N Main St Cleburne TX 76033-3842
Fax: (817) 624-1126
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 21787 Texas

Profile Details

NPI number 1811066632
LBN Legal business name Bullard, Richard L
Credentials DDS PA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Mar 14th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811066632 NPPES
Texas MEDICAID 174186014
Texas Other 21787

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