Individual provider · Type 1 NPI

Jeri Lynn Bullock, DDS

General Practice Dentistry · Midvale, UT

NPI number 1396030003 Active

Practice location

1144 E Fort Union Blvd
Midvale, UT 84047-1804

Other practice locations

  • 319 5th Ave, Saltville, VA 24370-3418 · (276) 496-4492

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X0401414490 (VA)
General Practice Dentistry 1223G0001X016.0078267 (VT)
General Practice Dentistry Primary 1223G0001X90-0809888 (UT)

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 1396030003

Jeri Lynn Bullock, DDS's National Provider Identifier is 1396030003, issued on Jun 10, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Midvale, UT. The record was last updated on Jul 21, 2022.