DR. Jason Scott Bullock, D.M.D
NPI #1053378620 in Fort Gordon, Georgia
Provider Information
- NPI Number
- 1053378620
- Entity Type
- Individual
- Name
- DR. Jason Scott Bullock, D.M.D
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- D.M.D
- Enumeration Date
- Apr 27, 2006
- Last Updated
- May 20, 2015
Practice Location
- Address
- BLDG 38717 38TH STREET
- Address 2
- USA DENTAL ACTIVITY
- City
- Fort Gordon
- State
- Georgia
- ZIP Code
- 30905-5660
- Phone
- (706) 787-6927
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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