Provider Demographics
NPI:1407020514
Name:BULLION, JAMES FRANCIS JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:FRANCIS
Last Name:BULLION
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1349 S INTERNATIONAL PKWY
Mailing Address - Street 2:1441
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746
Mailing Address - Country:US
Mailing Address - Phone:407-833-9533
Mailing Address - Fax:407-833-9565
Practice Address - Street 1:1349 S INTERNATIONAL PKWY
Practice Address - Street 2:1441
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746
Practice Address - Country:US
Practice Address - Phone:407-833-9533
Practice Address - Fax:407-833-9565
Is Sole Proprietor?:No
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLDN9997122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist