Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nathaniel Bullock Jr., DDS, PA

Individual provider Dentist · NPI 1396902623

Dr. Nathaniel Bullock Jr., DDS, PA is a Dentist in Temple Hills, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2008
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.
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4316 Saint Barnabas Rd
Temple Hills, MD 20748-1834
Phone: (301) 423-3000
Fax: (301) 423-7030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 10643 (MD)

Record details

NPI number1396902623
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , PA
Sole proprietorYes
NPI enumeratedMay 22, 2008
Last updated in NPPESMay 22, 2008

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