Matthew R Bulik, DDS
Individual provider Active NPI Dentist · Valley City, ND
NPI 1669855854 · NPPES record last updated Jul 7, 2015
Key facts
- NPI
- 1669855854
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2265 (ND)
- Practice address
- 117 3Rd St NW
Valley City, ND 58072-2900 - Phone
- (701) 845-2180
- Fax
- (701) 845-0362
- NPI assigned
- Jul 7, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2265 | ND | Yes |
Addresses
Primary practice location
117 3Rd St NW
Valley City, ND 58072-2900
Mailing address
117 3Rd St NW
Valley City, ND 58072-2900
Phone (701) 845-2180
Other providers in Valley City, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.