Organization
SINGH BULLARD PEDIATRIC DENTISTRY, PC
Active
Other names
Noblesville Kids Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL BULLARD DDS, MSD (DOCTOR)
(317) 219-8684
Entity
Organization
Contact information
Practice address
9669 E 146TH ST, NOBLESVILLE, IN 46060-5005
(317) 773-5437
(317) 773-3565
Mailing address
9669 E 146TH ST, NOBLESVILLE, IN 46060-5005
(317) 773-5437
(317) 773-3565
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010489B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20051740A
—
IN
Enumeration date
06/03/2014
Last updated
06/03/2014
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