Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jason Matthew Bullock, DMD

Individual provider General Practice Dentistry · NPI 1093021545

Dr. Jason Matthew Bullock, DMD is a General Practice Dentistry in Fort Benning, Georgia. Licensed in Kentucky. Registered with an NPI since 2010.

Licensed in
KY
In the registry since
2010
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

7101 Hoff St
Fort Benning, GA 31905-5645
Phone: (706) 544-4559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 8895 (KY)

Record details

NPI number1093021545
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 23, 2010
Last updated in NPPESMarch 30, 2023
Certification dateMarch 28, 2023

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