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Joshua Bullock, DMD
Pediatric Dentist in Springfield, Missouri
NPI 1245734508

Joshua Bullock is a Pediatric Dentist based in Pittsburg, MO and is specialized in Pediatric Dentistry. Joshua Bullock practices in Springfield, MO and has the professional credentials of DMD. The NPI Number for Joshua Bullock is 1245734508 and holds a License No. 61581 (Missouri).

The current practice location address for Joshua Bullock is 1802 W Kearney St, Springfield, MO and can be reached out via phone at 417-567-8227.

Location: 1802 W Kearney St, Springfield, MO, 66762-1832
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245734508
Provider Name
Joshua Bullock
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1802 W Kearney St, Springfield, MO, 66762-1832
Phone Number
417-567-8227
Fax Number
Provider Enumeration Date
03/21/2018
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
1802 W Kearney St
City
Springfield
State
Missouri
Zip
65803-1647
Phone Number
417-567-8227
Fax Number
person
Provider Business Mailing Address Details
Address
1802 W Kearney St
City
Springfield
State
Missouri
Zip
65803-1647
Phone Number
417-567-8227
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
61581 (Kansas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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