Andrew Brian Bullard, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3674 Issued in SC

Practice address

644 N Main St Ste 111
Greenville, SC 29601-1678

Phone

(864) 520-2942

NPI assigned

Nov 13, 2014

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Comprehensive and Cosmetic Dental Studio of Greenville

  • Dental Clinic/Center
  • Greenville, SC
  • NPI 1164952842
  NPD Authorized official
• Greenville Dental Studio

  • Clinic/Center
  • Greenville, SC
  • NPI 1881467850
  NPD

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043616352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 N MAIN ST STE 111",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296011678",
            "telephone_number": "864-520-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 N MAIN ST STE 111",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296011678",
            "telephone_number": "864-520-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "ANDREW",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maitram Bui, PHARMD
• Stacy Schaefer Buice, CRNA
• Sarah Jane Buitrago, PTA
• Douglas Middleton Bull, M.D.
• Evelyn Louise Bull
• Julius David Bullard III
• Andrew Ritchie Bullock, M.D.
• Hope Bullock, OTR/L
• Zachary Bumgarner
• Allison Danielle Bumpas, MMFT, LMFTA

• General Practice Dentistry in Greenville, SC
• Providers in Greenville, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.