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JERI LYNN BULLOCK DDS
NPI 1396030003
Dentist - General Practice in Midvale, UT

Active since June 10, 2011
1144 E FORT UNION BLVD, MIDVALE, UT 84047(801) 566-3118 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Sep 2, 2017 (3 updates tracked since 2017).

About Jeri Lynn Bullock Dds NPPES

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

JERI LYNN BULLOCK DDS (NPI 1396030003) is an individual general practice provider in Midvale, Utah, licensed in Utah (90-0809888) and active in the NPI registry since June 2011. She maintains a secondary practice location in Saltville.

NPPES Registry Identity

NPI1396030003
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJERI LYNN BULLOCKCredential: DDS
Location Address1144 E FORT UNION BLVDMidvale, UT 84047-1804
Mailing Address1144 E Fort Union BlvdMidvale, UT 84047-1804 · (801) 566-3118
Phone(801) 566-3118
Sole ProprietorNo
Enumeration DateJune 10, 2011
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1396030003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in UT · 90-0809888✔ Licensed in VT · 016.0078267
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 0401414490 (VA)
1144 E FORT UNION BLVD, Midvale, UT 84047
Open in Google Maps ↗

Secondary Practice Location 1

Location 1319 5th AveSaltville, VA 24370-3418 · Phone (276) 496-4492 ext. 5

Other Identifiers 1

Medicaid1019260VT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Delta Dental PPO, EMI Health and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICAH WEISENBERG DDS
Dentist
1144 E FORT UNION BLVD
MIDVALE, UT 84047
Salt Lake County (801) 566-3118

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeri Bullock's NPI number?

The NPI number for Jeri Bullock is 1396030003. It was assigned to this individual provider in the NPPES registry on June 10, 2011.

Where is Jeri Bullock located?

Jeri Bullock practices at 1144 E Fort Union Blvd, Midvale, UT 84047. The listed phone number is (801) 566-3118.

What is Jeri Bullock's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jeri Bullock accept?

Health plans from BridgeSpan Health Company, Delta Dental PPO, EMI Health and Regence BlueCross BlueShield of Utah list Jeri Bullock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeri Bullock was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.