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

Dr. Jason Scott Bullock, DMD

Individual provider Dentist · NPI 1053378620

Dr. Jason Scott Bullock, DMD is a Dentist in Fort Gordon, Georgia. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

Bldg 38717 38th Street USA Dental Activity
Fort Gordon, GA 30905-5660
Phone: (706) 787-6927
Fax: (706) 787-2082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 7840 (KY)

Record details

NPI number1053378620
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 27, 2006
Last updated in NPPESMay 20, 2015

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