Search › Georgia › 1223G0001X
Jonathan Bullard, DMD
NPI 1578862777 · on the registry since 2011
Practice
- Address
- 3702 Washington Rd.
Augusta, GA 30907 - Phone
- (706) 863-5337
- Fax
- (706) 855-8249
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
- Licence states on file
- SC, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-10-22
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 Georgia