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SCOTT EDWIN BULLOCH DDS MS
NPI 1821277872
Oral & Maxillofacial Surgery in St George, UT

Active since October 26, 2007PECOS Enrolled
754 S MAIN ST, SUITE 5, ST GEORGE, UT 84770(435) 652-1445(435) 652-0138 Get Directions Write a Review

NPPES record last updated: October 26, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Scott Edwin Bulloch Dds Ms NPPES

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

SCOTT EDWIN BULLOCH DDS MS (NPI 1821277872) is an individual oral & maxillofacial surgery provider in St George, Utah, licensed in Utah (2735969224) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821277872
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameSCOTT EDWIN BULLOCHCredential: DDS MS
Location Address754 S MAIN ST, SUITE 5St George, UT 84770
Mailing Address754 S Main St, Suite 5St George, UT 84770 · (435) 652-1445 · Fax (435) 652-0138
Phone(435) 652-1445
Fax(435) 652-0138
Sole ProprietorYes
Enumeration DateOctober 26, 2007
✔ NPI 1821277872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in UT · 2735969224
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
754 S MAIN ST, St George, UT 84770
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott Edwin Bulloch Dds Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

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

PRECISION IMPLANT & ORAL SURGERY PC
Oral & Maxillofacial Surgery
754 S MAIN ST, SUITE 5
ST GEORGE, UT 84770
Washington County (435) 652-1445
DR. JEFFERY DONALD GRAF OD
Optometrist
754 S MAIN ST, STE 6
SAINT GEORGE, UT 84770
Washington County (435) 634-0420
DR. MARK RAYNEL ENCE D.D.S.
Dentist (General Practice)
754 S MAIN ST, STE. #1
ST GEORGE, UT 84770
Washington County (435) 628-2667
DR. ALLEN DEHEER TODD DDS
Dentist (Periodontics)
754 S MAIN ST, SUITE 7
ST GEORGE, UT 84770
Washington County (435) 652-1605
MITCHELL D REYNOLDS CRNA
Anesthesiology
754 S MAIN ST
ST GEORGE, UT 84770
Washington County (435) 652-9127
JAMES N ENCE DDS LTD
Dentist (General Practice)
754 S MAIN ST, STE. 1
ST GEORGE, UT 84770
Washington County (435) 628-2667
JEFFERY D GRAF OD PC
Optometrist
754 S MAIN ST, STE 6
SAINT GEORGE, UT 84770
Washington County (435) 634-0420
KEITH R REBER DPM
Podiatrist (Foot & Ankle Surgery)
754 S MAIN ST, SUITE 3
ST GEORGE, UT 84770
Washington County (435) 628-2671

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 Scott Bulloch's NPI number?

The NPI number for Scott Bulloch is 1821277872. It was assigned to this individual provider in the NPPES registry on October 26, 2007.

Where is Scott Bulloch located?

Scott Bulloch practices at 754 S Main St Suite 5, St George, UT 84770. The listed phone number is (435) 652-1445.

What is Scott Bulloch's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Scott Bulloch enrolled in Medicare?

Yes. Scott Bulloch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Scott Bulloch was last updated on October 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.