DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JERI LYNN BULLOCK, DDS

Active

JERI LYNN BULLOCK, DDS is a General Dentistry healthcare provider located in MIDVALE, Utah. NPI 1396030003 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · MIDVALE, UT

Registration Details

NPI Number
1396030003
Provider Type
Individual
Gender
Female
NPI Issued
Jun 10, 2011 (15.18668252597 yrs)
Last Updated
Jul 21, 2022
Licenses
0401414490 (VA)
016.0078267 (VT)
90-0809888 (UT)

Practice Information

Address
1144 E FORT UNION BLVD
MIDVALE, UT, 840471804
Browse UT providers · Browse ZIP 84047
Phone
8015663118
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry
Additional Specialty
General Dentistry

Other General Dentistry Providers in MIDVALE, UT

Name Credential NPI
DR. CHAD S BURT DMD 1497706386
DR. WILLIAM STARKEY KIDDER DDS 1194777904
DR. STANLEY K PRESLEY DDS 1003820481
DR. JAIMEE A MORGAN DOS 1508877069
BARLOW L. PACKER D.D.S. 1043323215
DR. STEVEN DALE DUKE DMD 1912008798
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.