Bettina Bullard
Individual provider Active NPI Dental Hygienist · Maxton, NC
NPI 1306298609 · NPPES record last updated Jul 11, 2016
Key facts
- NPI
- 1306298609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 7515 (NC)
- Practice address
- 773 John L Rd
Maxton, NC 28364-8843 - Phone
- (910) 740-0113
- NPI assigned
- Jul 11, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 7515 | NC | Yes |
Addresses
Primary practice location
773 John L Rd
Maxton, NC 28364-8843
Mailing address
3718 Gruber Rd
Fort Bragg, NC 28310-8934
Other providers in Maxton, NC
- Dana Parsons Bowman
- Bridge of Empowerment,LLC
- Amy Locklear Bryant
- Bryant'S Family Home Care
- Bryant'S Family Home Care
- Jabrie Bullard
- Janet Marie Campbell
- Care Ride Express
- Chaparral Youth Services
- Kylene Chavis
All providers in Maxton, NC · Dental Hygienist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.