Bullock, Joshua
Bullock, Joshua is an sole proprietor health care provider with primary practice located at 1802 W Kearney St , Springfield MO 65803-1647. He recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Pediatric Dentistry is his primary health care specialty. Bullock, Joshua can be contacted via phone (417) 567-8227.Contact Information
Primary practice address
1802 W Kearney St
Springfield MO 65803-1647
Phone: (417) 567-8227
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Pediatric Dentistry | 1223P0221X | 61581 | Kansas |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Dental Providers / Pediatric Dentistry | 1223P0221X | 2020011311 | Missouri |
Profile Details
NPI number | 1245734508 |
---|---|
LBN Legal business name | Bullock, Joshua |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 21st, 2018 |
Last updated | Mar 26th, 2024 - about last year |
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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