Search › Oklahoma › 122300000X
Blake Bullard, D.D.S
NPI 1548421852 · on the registry since 2008
Practice
- Address
- 5008 W. University Blvd.
Durant, OK 74701 - Phone
- (580) 931-3366
- Fax
- (580) 931-3390
- Organisation at this address
- Blake M. Bullard, D.D.S., P.L.L.C.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma