Bullard, Lawrence Cicero
Bullard, Lawrence Cicero is an sole proprietor health care provider with primary practice located at 102 W Southern Ave , Raeford NC 28376-3218. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bullard, Lawrence Cicero can be contacted via phone (910) 875-4008.Contact Information
Primary practice address
102 W Southern Ave
Raeford NC 28376-3218
Phone: (910) 875-4008
Fax: (910) 904-1200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4614 | North Carolina |
Profile Details
| NPI number | 1740491810 |
|---|---|
| LBN Legal business name | Bullard, Lawrence Cicero |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2007 |
| Last updated | Oct 26th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740491810 | NPPES |
| North Carolina | MEDICAID | 8991170 |
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