Active NPIIndividual providerSole proprietor

Dr. Alysha Bullock, DMD

Dentist, General Practice in Cheshire, Connecticut

NPI Number1295116903
Practice location
1090 Meriden Waterbury Tpke, Cheshire, CT 06410-7130
Fax
203-272-8270
Last updated
July 11, 2016

Alysha Bullock is a Dentist, General Practice based in Cheshire, CT. Alysha Bullock practices in Cheshire, CT and has the professional credentials of DMD. The NPI Number for Alysha Bullock is 1295116903 and holds a License No. 11659 (CT). The current practice location address for Alysha Bullock is 1090 Meriden Waterbury Tpke, Cheshire, CT 06410-7130 and can be reached out via phone at 203-272-8222 and via fax at 203-272-8270.

Provider Profile Details

NPI Number
1295116903
Provider Name
Alysha Bullock
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1090 Meriden Waterbury Tpke, Cheshire, CT 06410-7130
Phone Number
203-272-8222
Fax Number
203-272-8270
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
June 18, 2015
Last Update Date
July 11, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1090 Meriden Waterbury Tpke
Cheshire, CT 06410-7130
Zip
06410-7130
Phone Number
203-272-8222
Fax Number
203-272-8270
Cheshire, CT 06410Get directions →

Provider Business Mailing Address Details

Address
6 King Arthur Way
Apartment 6
Newington, CT 06111-2209
City
Newington
State
CT
Zip
06111-2209
Phone Number
203-278-9393

License Information

License Number
11659
License State
CT
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Alysha Bullock, DMD?

The NPI number of Dr. Alysha Bullock, DMD is 1295116903. It was assigned on June 18, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Alysha Bullock, DMD?

Dr. Alysha Bullock, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 11659.

Where does Dr. Alysha Bullock, DMD practice?

The practice location is 1090 Meriden Waterbury Tpke, Cheshire, CT 06410-7130. The office can be reached at 203-272-8222 (phone) or 203-272-8270 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295116903 directly on the NPPES registry website.

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