NPIMap

Organization Active NPI

Bullard Childrens Dentistry

  • Pediatric Dentistry
  • Sheboygan, WI
National Provider Identifier
1619050770
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5747 Issued in WI
Legal business name
BULLARD CHILDRENS DENTISTRY
Practice address
1020 S Taylor Dr
Sheboygan, WI 53081-4773
Phone
(920) 452-5437
Fax
(920) 452-2002
NPI assigned
Oct 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. George H Bullard, DDSNPI 1760565816
Title
Pediatric Dentist
Phone
(920) 452-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 5747 WI Primary

Addresses

Primary practice location

1020 S Taylor Dr
Sheboygan, WI 53081-4773

Mailing address

1020 S Taylor Dr
Sheboygan, WI 53081-4773
Phone (920) 452-5437

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619050770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S TAYLOR DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814773",
            "telephone_number": "920-452-5437",
            "fax_number": "920-452-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S TAYLOR DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814773",
            "telephone_number": "920-452-5437",
            "fax_number": "920-452-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULLARD CHILDRENS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BULLARD",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "920-452-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": "5747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.