CAL THOMAS BULLOCK DDS NPI 1346595576

NPI Information

NPI: 1346595576
Provider Name: CAL THOMAS BULLOCK, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
2900 CENTRAL AVE
BILLINGS, MT
ZIP 59102
Phone: (406) 646-6100
Get Directions

Cal Thomas Bullock, DDS is a pediatric dentistry dentist in Billings, MT. The provider is 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. Cal Thomas Bullock, DDS NPI is 1346595576. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2900 CENTRAL AVE
BILLINGS, MT
ZIP 59102-626
Phone: (406) 646-6100

The enumeration date for this NPI number is 7/13/2012 and was last updated on 6/7/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		LL633	MARYLAND	No
2	122300000X	Dentist		LL674	MARYLAND	No
3	1223P0221X	Dentist	Pediatric Dentistry	DEN-DEN-LIC-7748	MONTANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	119591300	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »