Search › Georgia › 122300000X
Jason Bullock, D.M.D
NPI 1053378620 · on the registry since 2006
Practice
- Address
- Bldg 38717 38th Street
Usa Dental Activity
Fort Gordon, GA 30905 - Phone
- (706) 787-6927
- Fax
- (706) 787-2082
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-05-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia