Jason Scott Bullock in Fort Gordon - Dentist
Jason Scott Bullock - NPI 1053378620
Jason Scott Bullock is a Dentist in Fort Gordon, Georgia. Jason Scott Bullock practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jason Scott Bullock is 1053378620. The last update date is 2015-05-20.
Jason Scott Bullock's current location address is Bldg 38717 38th Street, Fort Gordon, Georgia. You can contact this provider via phone number 7067876927 and fax number 7067872082. The mailing address for Jason Scott Bullock is Bldg 38717 38th Street, Fort Gordon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Scott Bullock |
|---|---|
| Address | Bldg 38717 38th Street, Fort Gordon, Georgia |
| Phone Number | 7067876927 |
| Fax Number | 7067872082 |
| Sole Proprietor | N |
| Credentials | D.M.D |
NPI Number Detail
| NPI Number | 1053378620 |
|---|---|
| Provider Enumeration Date | 2006-04-27 |
| Last Updated Date | 2015-05-20 |
Provider Mailing Address Detail
| Address | Bldg 38717 38th Street |
|---|---|
| City | Fort Gordon |
| State | Georgia (GA) |
| Post Code | 309055660 |
| Phone Number | 7067876927 |
| Fax Number | 7067872082 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 7840 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identifier code issued to Jason Scott Bullock by the Centers for Medicare & Medicaid Services?
The Jason Scott Bullock has been assigned the NPI (National Provider Identifier) 1053378620. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jason Scott Bullock is geographically located?
The Jason Scott Bullock is physically situated at the following location: Bldg 38717 38Th Street, Fort Gordon, GA, 309055660.
What is Jason Scott Bullock's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jason Scott Bullock's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date was the 1053378620 assigned to Jason Scott Bullock?
The Jason Scott Bullock was issued its 1053378620 on 2006-04-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Jason Scott Bullock's information last updated?
The Jason Scott Bullock's information was last updated on 2015-05-20.
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