Provider Demographics
NPI:1003704545
Name:BULLARD, KARLEIGH (DDS)
Entity type:Individual
Prefix:
First Name:KARLEIGH
Middle Name:
Last Name:BULLARD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3907 SHERIDAN RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-2437
Mailing Address - Country:US
Mailing Address - Phone:336-455-0212
Mailing Address - Fax:
Practice Address - Street 1:1515 W CORNWALLIS DR STE 120
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-6334
Practice Address - Country:US
Practice Address - Phone:336-586-5011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC142171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice