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

Q: What is the provider's specialty?

The provider's specialty is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

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: July 19, 2026.

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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.