Scott Edwin Bulloch, DDS MS

NPI #1821277872 in St George, Utah

Provider Information

NPI Number: 1821277872
Entity Type: Individual
Name: Scott Edwin Bulloch, DDS MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Oral & Maxillofacial Surgery
Credential: DDS MS
Enumeration Date: Oct 26, 2007
Last Updated: Oct 26, 2007

Practice Location

Address: 754 S MAIN ST
Address 2: SUITE 5
City: St George
State: Utah
ZIP Code: 84770
Phone: (435) 652-1445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Oral & Maxillofacial Surgery	204E00000X	Primary

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