DR. LARRY JOEL BULLOCK DDS NPI 1598745382

NPI Information

NPI: 1598745382
Provider Name: DR. LARRY JOEL BULLOCK, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
210A 88TH ST
VIRGINIA BEACH, VA
ZIP 23451
Phone: (757) 437-9005
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DR. Larry Joel Bullock, DDS is a general practice dentist in Virginia Beach, VA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Larry Joel Bullock, DDS NPI is 1598745382. 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:

210A 88TH ST
VIRGINIA BEACH, VA
ZIP 23451-828
Phone: (757) 437-9005

The enumeration date for this NPI number is 1/19/2006 and was last updated on 7/8/2007.

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	1223G0001X	Dentist	General Practice	0401008405	VIRGINIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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