W.L. Bullis, D.D.S.,P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08404 Issued in TX

Legal business name

W.L. BULLIS, D.D.S.,P.C.

Practice address

3409 S Georgia St
Ste 12
Amarillo, TX 79109-4844

Phone

(806) 359-0371

Fax

(806) 463-5205

NPI assigned

Mar 5, 2012

Organization subpart

No

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

Authorized official

Name

W. L. Bullis, D.D.S.

Title

P.C.

Phone

(806) 359-0371

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1265706527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 S GEORGIA ST",
            "address_2": "STE 12",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791094844",
            "telephone_number": "806-359-0371",
            "fax_number": "806-463-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 S GEORGIA ST",
            "address_2": "STE 12",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791094844",
            "telephone_number": "806-359-0371",
            "fax_number": "806-463-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W.L. BULLIS, D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "BULLIS",
        "authorized_official_first_name": "W.",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "P.C.",
        "authorized_official_telephone_number": "806-359-0371",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "08404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ashley Wade
• Hayden Wade, CRNA
• Nelly Berenice Wade, RBT
• Wagner Performance Chiropractic

• General Practice Dentistry in Amarillo, TX
• Providers in Amarillo, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.