Provider Demographics
NPI:1700968161
Name:REES CRAWFORD FLANNERY & BERT M BULLINGTON
Entity Type:Organization
Organization Name:REES CRAWFORD FLANNERY & BERT M BULLINGTON
Other - Org Name:DRS. FLANNERY, BULLINGTON & RAPETTI
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:BULLINGTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:412-364-7188
Mailing Address - Street 1:736 W. INGOMAR ROAD
Mailing Address - Street 2:P.O. BOX 35
Mailing Address - City:INGOMAR
Mailing Address - State:PA
Mailing Address - Zip Code:15127-0035
Mailing Address - Country:US
Mailing Address - Phone:412-364-7188
Mailing Address - Fax:412-348-0143
Practice Address - Street 1:736 W. INGOMAR ROAD
Practice Address - Street 2:
Practice Address - City:INGOMAR
Practice Address - State:PA
Practice Address - Zip Code:15127-0035
Practice Address - Country:US
Practice Address - Phone:412-364-7188
Practice Address - Fax:412-348-0143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS171571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty