Provider Demographics
NPI:1346884533
Name:BULSARA, TUSHAR PRADIP (DMD)
Entity Type:Individual
Prefix:DR
First Name:TUSHAR
Middle Name:PRADIP
Last Name:BULSARA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1851 MACGREGOR DOWNS RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-5925
Mailing Address - Country:US
Mailing Address - Phone:828-586-1200
Mailing Address - Fax:828-586-0047
Practice Address - Street 1:119 NATURAL SPRINGS DR
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-2517
Practice Address - Country:US
Practice Address - Phone:828-837-5911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-31
Last Update Date:2020-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program