Individual provider · Type 1 NPI

John A. Bullock, DMD

General Practice Dentistry · Wilsonville, OR

NPI number 1083866248 Active

Practice location

9415 SW Wilsonville Rd
Wilsonville, OR 97070-7522

Fax (503) 855-4689

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD7370 (OR)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1083866248

John A. Bullock, DMD's National Provider Identifier is 1083866248, issued on Oct 21, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Wilsonville, OR. The record was last updated on Sep 11, 2026.