Galina Valentinovna Bulatova, DMD, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

30.026546 Issued in OH

Practice address

5225 Cleveland Rd Ste D
Wooster, OH 44691-5541

Phone

(419) 756-7004

NPI assigned

Jun 10, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smile Doctors of Ohio, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Powell, OH
  • NPI 1740779792
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1013584689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 CLEVELAND RD STE D",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446915541",
            "telephone_number": "419-756-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 CLEVELAND RD STE D",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446915541",
            "telephone_number": "419-756-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULATOVA",
        "first_name": "GALINA",
        "middle_name": "VALENTINOVNA",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30.026546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecords.sandford.html",
            "affiliation": "N",
            "address_1": "5225 Cleveland Rd Ste D",
            "city": "Wooster",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446915541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Brzezowski
• Susan D. Buchwalter, PH.D.
• Laura Buck
• Buckeye Family Healthcare LLC
• Buehler Food Markets Incorporated
• Kate E Bullach, DPT
• Daniel Patrick Bullard, DPM
• Kara Louise Bullard, BSW, LSW
• Angela Buller, MA CCC-SLP
• Desiree Kimberly Janelle Bullock, LPC

• Orthodontics and Dentofacial Orthopedics Dentistry in Wooster, OH
• Providers in Wooster, OH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.