# SINGH BULLARD PEDIATRIC DENTISTRY, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Noblesville Kids Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750794269
- **Authorized official:** DR. SAMUEL BULLARD DDS, MSD (DOCTOR)
- **Authorized official phone:** (317) 219-8684

## Contact information

- **Practice address:** 9669 E 146TH ST, NOBLESVILLE, IN 46060-5005
- **Practice address phone:** (317) 773-5437
- **Practice address fax:** (317) 773-3565
- **Mailing address:** 9669 E 146TH ST, NOBLESVILLE, IN 46060-5005
- **Mailing address phone:** (317) 773-5437
- **Mailing address fax:** (317) 773-3565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12010489B | IN | Yes |

## Other

- **Enumeration date:** 06/03/2014
- **Last updated:** 06/03/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 20051740A | — | IN |