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

SCOTT EDWIN BULLOCH, DDS MS

Active Sole Proprietor

SCOTT EDWIN BULLOCH, DDS MS is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in ST GEORGE, Utah. NPI 1821277872 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · ST GEORGE, UT

Registration Details

NPI Number
1821277872
Provider Type
Individual
Gender
Male
NPI Issued
Oct 26, 2007 (18.75854298847 yrs)
Last Updated
Oct 26, 2007
License
2735969224 (UT)
Sole Proprietor
Yes

Practice Information

Address
754 S MAIN ST
SUITE 5
ST GEORGE, UT, 84770
Browse UT providers · Browse ZIP 84770
Phone
4356521445
Fax
4356520138
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X
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.