| John W Bull Dds | |
|
228 N Cherry St Fruita CO 81521-2101 | |
| (970) 243-2855 | |
| (970) 256-9467 |
| Full Name | John W Bull Dds |
|---|---|
| Speciality | Dentist |
| Location | 228 N Cherry St, Fruita, Colorado |
| Authorized Official Name and Position | John William Bull (SOLE PROPRIETOR) |
| Authorized Official Contact | 9702432855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John W Bull Dds 2226 Dogwood Ct Grand Junction CO 81506-8402 Ph: (970) 243-2855 | John W Bull Dds 228 N Cherry St Fruita CO 81521-2101 Ph: (970) 243-2855 |
| NPI Number | 1801251616 |
|---|---|
| Provider Enumeration Date | 12/21/2015 |
| Last Update Date | 12/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801251616 | NPI | - | NPPES |
| 02001675 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DEN00000167 (Colorado) | Primary |
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