JERI BULLOCK, DDS
Dentist - General Practice
Active
Individual
NPI: 1396030003
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | 0401414490 (VA) |
| Dentist - General Practice | 1223G0001X | Yes | 90-0809888 (UT) |
Frequently Asked Questions
NPI 1396030003 is the National Provider Identifier for JERI BULLOCK, DDS, a Dentist - General Practice provider located in Midvale, UT. This NPI was enumerated on June 10, 2011.
JERI BULLOCK, DDS practices at 1144 E FORT UNION BLVD, Midvale, UT 84047.
Quick Facts
- NPI
- 1396030003
- Type
- Individual
- Enumerated
- Jun 10, 2011
- Last Updated
- Jul 21, 2022
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