MRS. CAROLYN DEOLINDA BULLOCK (NPI# 1558665273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558665273 |
| Entity Type | Individual |
| Full Name | MRS. CAROLYN DEOLINDA BULLOCK |
| Other Name | MS. CAROLYN DEOLINDA BOETTGER |
| Credential | DDS |
| Practice Address |
320 5th St Frederick CO 80530 |
| Mailing Address |
P.o. Box 69 Frederick CO 80530 |
| Practice Telephone | 3038333230 |
| Practice Fax Number | 3038334477 |
| Mailing Telephone | 3038333230 |
| Mailing Fax Number | 3038334477 |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2018-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D07836 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659350775 | Carolyn R Bullock | Family Medicine | 7630 Rivers Edge Dr, Columbus, OH 43235-1337 | 2006-01-17 |
| Street Address |
320 5TH ST |
| City | FREDERICK |
| State | CO |
| Zip Code | 80530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144367210 | Kersten Chiropractic PC | Chiropractor | 630 Main St., A, Frederick, CO 80530 | 2007-01-30 |
| 1710036306 | Heeling Hands, LLC | Massage Therapist | 142 6th St., Frederick, CO 80530 | 2007-01-10 |
| 1265580914 | Mark Jerel Ringdahl | Dentist | 320 5th St., Po#69, Frederick, CO 80530 | 2007-01-08 |
| 1255400107 | Frederick Area Fire Protection District | Ambulance | 31 Walnut Drive, Frederick, CO 80530 | 2006-11-07 |
| 1982611679 | Jilba Meryl Wallace | Counselor | 541 Oak Street, Ste 2, Frederick, CO 80530 | 2006-08-02 |
| 1295708733 | Allison L Gorab | Dentist | 5995 Iris Parkway, Frederick, CO 80530 | 2006-02-07 |
| 1619218856 | Carbon Valley Chiropractic | Chiropractor | 630 Main Street, Suite A, Frederick, CO 80530 | 2013-03-13 |
| 1952549636 | The Lions Tooth, LLC | Clinic/Center | 630 Main Street, Unit B, Frederick, CO 80530 | 2009-02-03 |
| 1699910240 | Andrea Maria Auxier | Psychologist | 5995 Iris Parkway, Salud Family Health Centers, Frederick, CO 80530 | 2008-12-11 |
| 1487851473 | Ethan E Kerns | Dentist | 5995 Iris Parkway, Frederick, CO 80530 | 2007-07-02 |
| Find all providers in zip 80530 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061166 | Frederick Center for Dentistry, LLC | Dentist | 140 Thomas Johnson Dr Ste 203, Frederick, MD 21702-4485 | 2020-10-23 |
| 1427656248 | Kopit Dental Care, Pa | Dentist | 3420 Worthington Blvd Ste A, Frederick, MD 21704-7020 | 2020-10-14 |
| 1083232508 | Katherine Victoria Bell | Dentist | 5010 Buckeystown Pike Ste 144, Frederick, MD 21704-8340 | 2020-07-10 |
| 1932764479 | Ryan Krempel | Dentist | 161 Thomas Johnson Dr, Frederick, MD 21702-4314 | 2019-05-09 |
| 1942767074 | My Frederick Dentist LLC | Dentist | 2100 Old Farm Dr # 1-b, Frederick, MD 21702-9494 | 2019-02-25 |
| 1437643046 | Alexandra Fitzgerald | Dentist | 2090 Old Farm Dr Ste B, Frederick, MD 21702-5404 | 2018-06-18 |
| 1578092771 | Salar Azad | Dentist | 1020 Mill Pond Rd, Frederick, MD 21701-9427 | 2017-06-09 |
| 1902339062 | Lifetime Dental Care of Maryland Badger, P.C. | Dentist | 4959 Westview Dr, Suite F, Frederick, MD 21703-7369 | 2017-04-06 |
| 1003274382 | Brian K Motz Dds PC | Dentist | 65b Thomas Johnson Drive, Frederick, MD 21702-4371 | 2016-02-02 |
| 1093111874 | Kaitlyn Grosso | Dentist | 11339 Liberty Rd, Suite 9, Frederick, MD 21701-2620 | 2014-11-06 |
| Find all providers in FREDERICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.