Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548421852 Individual Practitioner Male Practitioner

Dr. Blake M. Bullard , DDS

Dentist • Durant, OK

Professional Overview & Biography Verified Profile Summary

Dr. Blake Bullard, DDS is a registered healthcare professional specializing in Dentist in Durant, OK. Practice services are available at 5008 W. UNIVERSITY BLVD. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5008 W. University Blvd.

Durant, OK 74701

Telephone 5809313366
Fax 5809313390
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Durant, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
10 Specialists

Practicing in Durant, OK (1115 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OK 6022

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200203570A (OK)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 20, 2018

Registered at 5008 W. UNIVERSITY BLVD., DURANT, OK 74701 (Tel: 5809313366)

📍
Updated Business Mailing Address June 20, 2018

Registered at 5008 W. UNIVERSITY BLVD., DURANT, OK 74701 (Tel: 5809313366)

NPI Profile Active April 08, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2014

Registered at 2929 W UNIVERSITY BLVD, DURANT, OK 747012978 (Tel: 5809313366)

📍
Updated Business Mailing Address April 08, 2014

Registered at 2929 W UNIVERSITY BLVD, DURANT, OK 747012978 (Tel: 5809313366)

👤
Provider Name / Credentials Updated April 08, 2014

Recorded as BLAKE BULLARD, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2014

Dentist (License #6022 in OK)

🟢
Initial NPI Registration & Enumeration June 19, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548421852
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2008
Last Update: June 20, 2018
Sole Proprietor: No

Mailing Address

5008 W. University Blvd.

Durant, OK 74701

Phone: 5809313366

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.