Bullock, Cal Thomas

Bullock, Cal Thomas is an individual health care provider with primary practice located at 2900 Central Ave , Billings MT 59102-8626. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Bullock, Cal Thomas can be contacted via phone (406) 646-6100.

Contact Information

Primary practice address
2900 Central Ave Billings MT 59102-8626
Phone: (406) 646-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X LL633 Maryland
Dental Providers / Dentist 122300000X LL674 Maryland
Dental Providers / Pediatric Dentistry 1223P0221X DEN-DEN-LIC-7748 Montana

Profile Details

NPI number 1346595576
LBN Legal business name Bullock, Cal Thomas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2012
Last updated Jun 7th, 2017 - about 8 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 1346595576 NPPES
Maryland MEDICAID 119591300

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