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Jeri Bullock, DDS
NPI 1396030003 · on the registry since 2011
Practice
- Address
- 1144 E Fort Union Blvd
Midvale, UT 84047 - Phone
- (801) 566-3118
- Organisation at this address
- Midvale Modern Dentistry, Llp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 319 5th Ave, Saltville, VA
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Also registered as
- Dentist
General Practice Dentistry - Licence states on file
- VA, VT, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
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 Utah