Individual provider · Type 1 NPI

Jason Matthew Bullock, DMD

General Practice Dentistry · Fort Benning, GA

NPI number 1093021545 Active

Practice location

7101 Hoff St
Fort Benning, GA 31905-5645

Mailing address

Building 972 7061 Lincoln Avenue, Usa Dental Activity
Fort Benning, GA 31905

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X8895 (KY)

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 1093021545

Jason Matthew Bullock, DMD's National Provider Identifier is 1093021545, issued on Aug 23, 2010. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fort Benning, GA. The record was last updated on Mar 30, 2023.