Bullard Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BULLARD DENTAL GROUP

Practice address

323 E Bullard Ave
Suite 104
Fresno, CA 93710-5213

Phone

(559) 439-9990

Fax

(559) 439-9996

NPI assigned

Sep 3, 2008

Last updated

Sep 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mandana Kouroshnia, DDS

Title

President

Phone

(559) 439-9990

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mehrdad Fay, DDS

  • General Practice Dentistry
  • Fresno, CA
  • NPI 1437298544
  NPD (past)
• Victoria Geren, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fresno, CA
  • NPI 1598143208
  NPD (past)

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1215185418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 E BULLARD AVE",
            "address_2": "SUITE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 E BULLARD AVE",
            "address_2": "SUITE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105213",
            "telephone_number": "559-439-9990",
            "fax_number": "559-439-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULLARD DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "KOUROSHNIA",
        "authorized_official_first_name": "MANDANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-439-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianna Buik
• Building Bridges Family Counseling, Inc.
• Gisel Buitrago
• Buker Colson Medicine Chest
• Timothy Bulger
• Cecil H Bullard, MD
• Andrea Bullock, LVN
• Leslie Ellen Bullock, MSW, LCSW
• Maribel Magallanes Bumpers
• Evan P Bundy

• General Practice Dentistry in Fresno, CA
• Providers in Fresno, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.