Individual
DR. BERT MONTELL BULLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
736 W INGOMAR RD, INGOMAR, PA 15127-2000
(412) 364-7188
(412) 348-0143
Mailing address
736 W INGOMAR RD, P.O. BOX 35, INGOMAR, PA 15127-2000
(412) 364-7188
(412) 348-0143
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS016950L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS016950L
DENTAL LICENSE
PA
Enumeration date
09/24/2013
Last updated
09/24/2013
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