Individual provider · Type 1 NPI

Gloria E. Bullock, DDS

General Practice Dentistry · Chicago, IL

NPI number 1407978794 Active

Practice location

1525 E 53rd St, Suite 632
Chicago, IL 60615-4557

Mailing address

1525 E 53rd Street, Suite 632
Chicago, IL 60615

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: 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.

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About NPI 1407978794

Gloria E. Bullock, DDS's National Provider Identifier is 1407978794, issued on Apr 6, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.