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

Dr. Luther B Bullock Jr., DDS

Individual provider Dentist · NPI 1063584530

Dr. Luther B Bullock Jr., DDS is a Dentist in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3694 Bayonne Dr
Salem, OR 97317-5393
Phone: (503) 689-1838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D8385 (OR)

Record details

NPI number1063584530
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 13, 2006
Last updated in NPPESJanuary 12, 2012

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