Jeri Lynn Bullock, DDS

NPI #1396030003 in Midvale, Utah

Provider Information

NPI Number: 1396030003
Entity Type: Individual
Name: Jeri Lynn Bullock, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 10, 2011
Last Updated: Jul 21, 2022

Practice Location

Address: 1144 E FORT UNION BLVD
City: Midvale
State: Utah
ZIP Code: 84047-1804
Phone: (801) 566-3118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - General Practice — General Practice	1223G0001X

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