CAL THOMAS BULLOCK


Address: 2900 Central Ave, Billings, MT 59102-8626
Phone: 4066466100

CAL THOMAS BULLOCK (NPI# 1346595576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346595576
Entity Type Individual
Full Name CAL THOMAS BULLOCK
Credential DDS
Practice Address 2900 Central Ave
Billings
MT 59102-8626
Practice Telephone 4066466100
Mailing Telephone 4066566100
Enumeration Date 2012-07-13
Last Update Date 2017-06-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist LL674 MD Dental Providers
N 122300000X Dentist LL633 MD Dental Providers
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
DEN-DEN-LIC-7748 MT Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD 119591300 05

Office Location

Street Address 2900 CENTRAL AVE
City BILLINGS
State MT
Zip Code 59102-8626

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043317902 Brent L Leggett Dentist 2900 Central Ave, Orthodontic and Pediatric Clinic: Building #2, Billings, MT 59102-8626 2006-09-20
1972101145 Elizabeth Jayne Ivey Dentist 2900 Central Ave, Billings, MT 59102-8626 2020-10-11
1073110730 Zachary Von Smith Dentist 2900 Central Ave, Billings, MT 59102-8626 2020-10-06
1962922286 Karen Amanda Randall Dentist 2900 Central Ave, Billings, MT 59102-8626 2017-06-27
1376078279 Blaine Baker Dentist 2900 Central Ave, Billings, MT 59102-8626 2017-04-28
1144775412 John David Clark Dentist 2900 Central Ave, Billings, MT 59102-8626 2016-08-16
1801272471 Gregory England Dentist 2900 Central Ave, Billings, MT 59102-8626 2015-08-06
1013222124 Brian D Draayer Dentist 2900 Central Ave, Building 1, Billings, MT 59102-8626 2010-08-12
1922319854 Mark Bryant Low Dentist 2900 Central Ave, Building 1, Billings, MT 59102 2010-06-25
1972736387 Jesse L Mcclung Dentist 2900 Central Ave, Building 1, Billings, MT 59102-8626 2009-09-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700402336 Stephanie Diane Adkins Counselor 1726 Lampman Dr., Billings, MT 59102 2020-06-19
1366072563 Carrie L Barton Assistant Behavior Analyst 1701 Avenue E Suite A, Billings, MT 59102 2020-01-16
1407418080 Lori Lyn Strickler Massage Therapist 2901 Monad Road, Apt. 99, Billings, MT 59102 2019-07-03
1649754300 Native American Development Corporation Clinic/Center 1230 North 30th Street, Billings, MT 59102 2018-09-19
1396235818 Better Times Recovery Services LLC Clinic/Center 1925 Grand Ave Ste 103, Billings, MT 59102 2018-05-10
1982118428 Family Support Network Counselor 1002 10th Street West, Suite 1, Billings, MT 59102 2017-11-20
1598281859 Billings Clinic Specialty Supplies and Services, LLC Durable Medical Equipment & Medical Supplies 1015 Broadwater Ave Ste 102, Billings, MT 59102 2017-08-18
1326564857 Billings Clinic Specialty Supplies and Services, LLC Pharmacy 1015 Broadwater Ave Ste 101, Billings, MT 59102 2017-08-16
1326586124 Bailey K. Wilson Behavior Technician 3101 Lynn Ave., Apt. #3, Billings, MT 59102 2017-02-01
1588108120 Angela Grimm Counselor 1200 30th St W, Billings, MT 59102 2016-12-16
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841839230 Trailhead Pediatric Dentistry Dentist 513 Hilltop Rd Ste 5, Billings, MT 59105-2375 2020-01-02
1720446289 Clint Chlarson Dentist 3042 Golden Acres Dr, Billings, MT 59106-2254 2016-01-29
1346631249 Tanner Douglas Bennion Dentist 2700 Grand Ave Ste B, Billings, MT 59102-2682 2015-02-12
1417244781 Camron Shayn Buttars Dentist 1601 Zimmerman Trl Ste 1, Billings, MT 59102-7654 2011-07-07
1063662294 Brady S Keller Dentist 1690 Rimrock Rd Ste C, Billings, MT 59102-0700 2008-09-24
1285739409 Kelly Michael Clarke Dentist 2700 Grand Ave, Suite B, Billings, MT 59102-2680 2006-09-13
1770922379 Nathan Brian Stanley Dentist 1601 Zimmerman Trl Ste 1, Billings, MT 59102-7652 2013-06-18
1629324306 Rimrock Pediatric Dentistry Dentist 1601 Zimmerman Trail, Suite 1, Billings, MT 59102-7652 2012-07-31
1013278126 Christina M Clement Dentist 1690 Rimrock Rd, #c, Billings, MT 59102-0700 2012-06-05
1730209974 Pediatric Dental Specialists Dentist 2700 Grand Ave, Suite B, Billings, MT 59102-2680 2007-03-30
Find all providers in BILLINGS

Competitor

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City BILLINGS
Zip Code 59102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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