DR. JASON SCOTT BULLOCK D.M.D
NPI 1053378620
Dentist in Fort Gordon, GA

Q: What is Jason Bullock's NPI number?

The NPI number for Jason Bullock is 1053378620. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Q: What is Jason Bullock's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Bullock was last updated on May 20, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 27, 2006

BLDG 38717 38TH STREET, USA DENTAL ACTIVITY, FORT GORDON, GA 30905(706) 787-6927(706) 787-2082 Get Directions Write a Review

NPPES record last updated: May 20, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Jason Scott Bullock D.m.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JASON SCOTT BULLOCK D.M.D (NPI 1053378620) is an individual dentist in Fort Gordon, Georgia, licensed in Kentucky (7840) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1053378620

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JASON SCOTT BULLOCKCredential: D.M.D

Location AddressBLDG 38717 38TH STREET, USA DENTAL ACTIVITYFort Gordon, GA 30905-5660

Mailing AddressBldg 38717 38th Street, Usa Dental ActivityFort Gordon, GA 30905-5660 · (706) 787-6927 · Fax (706) 787-2082

Phone(706) 787-6927

Fax(706) 787-2082

Sole ProprietorNo

Enumeration DateApril 27, 2006

Last NPPES UpdateMay 20, 2015

✔ NPI 1053378620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in KY · 7840

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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

BLDG 38717 38TH STREET, Fort Gordon, GA 30905

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