Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON SCOTT BULLOCK, D.M.D
ActiveDR. JASON SCOTT BULLOCK, D.M.D is a Dentist healthcare provider located in FORT GORDON, Georgia. NPI 1053378620 is currently active in the NPPES registry. Verify at CMS.
Dentist · FORT GORDON, GA
Registration Details
- NPI Number
- 1053378620
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2006 (20.28140426411 yrs)
- Last Updated
- May 20, 2015
- License
-
7840 (KY)
Practice Information
- Address
-
BLDG 38717 38TH STREETUSA DENTAL ACTIVITYFORT GORDON, GA, 309055660Browse GA providers · Browse ZIP 30905
- Phone
- 7067876927
- Fax
- 7067872082
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in FORT GORDON, GA
| Name | Credential | NPI |
|---|---|---|
| DR. RISHARD MEKEL BANKS | DDS | 1669782066 |
| REGINA MAR | D.D.S. | 1558645648 |
| JOSHUA BERRIDGE | DMD | 1760890248 |
| NATASHA GANDARILLA | DMD | 1952829095 |
| DR. CARSEN ROBERT MCDANIEL | DDS | 1023500675 |
| DR. JUSTIN PHILLIP GALLIANI | DDS | 1124652540 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.