DR. LINDA CRIST BULLOCK (NPI# 1629061692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629061692 |
| Entity Type | Individual |
| Full Name | DR. LINDA CRIST BULLOCK |
| Credential | D.M.D. |
| Practice Address |
498 Harlow Rd Suite # 2 Springfield OR 97477-1336 |
| Practice Telephone | 5413455363 |
| Practice Fax Number | 5413449099 |
| Mailing Telephone | 5413455363 |
| Mailing Fax Number | 5413449099 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2399 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750928172 | Linda Dianne Bullock | Case Manager/Care Coordinator | 425 Capitol Dr, Avondale, LA 70094-2457 | 2019-12-04 |
| 1649241001 | Linda M. Bullock | Internal Medicine | 915 Montgomery Ave, 4th Floor, Penn Valley, PA 19072-1548 | 2006-02-01 |
| 1619975604 | Linda Nadene Bullock | Nurse Practitioner | 208 W 2nd St, Muleshoe, TX 79347-3631 | 2005-07-13 |
| Street Address |
498 HARLOW RD SUITE # 2 |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-1336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912309832 | Alison Cadaret Dds PC | Dentist | 498 Harlow Rd, Suite 5, Springfield, OR 97477-1336 | 2014-09-23 |
| 1386933034 | Riverbend Dental | Dentist | 498 Harlow Rd, Suite #5, Springfield, OR 97477-1336 | 2011-04-04 |
| 1700184751 | Renee E Watts Dds PC | Dentist | 498 Harlow Rd, Suite 1, Springfield, OR 97477-1336 | 2011-02-28 |
| 1699952010 | Hayden Dental | Dentist | 498 Harlow Rd, Suite #3, Springfield, OR 97477-1336 | 2008-01-28 |
| 1063564979 | John K Sullivan | Dentist | 498 Harlow Rd, Suite 1, Springfield, OR 97477 | 2007-01-18 |
| 1114966405 | Mark Fielding Stapleton | Dentist | 498 Harlow Rd, Springfield, OR 97477-1336 | 2006-06-05 |
| 1275514267 | Alison Thompson Cadaret | Dentist | 498 Harlow Rd, Suite 5, Springfield, OR 97477-1336 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| 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 |
|---|---|---|---|---|
| 1356969034 | Dental Professionals of Virginia, P.C. | Dentist | 7015 Old Keene Mill Rd Ste 101, Springfield, VA 22150-2805 | 2020-07-09 |
| 1336790609 | Mahmoud Al Homsi | Dentist | 41 Taylor St. 4th Fl, Springfield, MA 01103 | 2019-09-26 |
| 1730734369 | Taylor Eiford | Dentist | 200 N Fountain Ave, Springfield, OH 45504-2535 | 2019-08-09 |
| 1376198366 | Cynthia Park | Dentist | 8328 Traford Ln Ste B, Springfield, VA 22152-1667 | 2019-08-06 |
| 1588225155 | Mckenzie Dental Center | Dentist | 110 S. 59th St, Springfield, OR 97478 | 2019-06-25 |
| 1376100651 | Haiping Sun | Dentist | 1705 E Primrose St, Springfield, MO 65804-4292 | 2019-05-22 |
| 1740845619 | Patrick Greitzer | Dentist | 251 Hampton Pl, Springfield, OH 45503-2613 | 2019-05-07 |
| 1033674106 | Tags Inc | Dentist | 1557 E Primrose St Ste 116, Springfield, MO 65804-7916 | 2019-02-04 |
| 1366916272 | Baines Dental, LLC | Dentist | 1112 Rickard Rd Ste A, Springfield, IL 62704-1021 | 2019-01-14 |
| 1225502362 | Liebentritt Family Dentistry | Dentist | 191 Main St., Springfield, NE 68059 | 2019-01-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
Please comment or provide details below to improve the information on DR. LINDA CRIST BULLOCK.
| 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.