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

Jeri Lynn Bullock, DDS

Individual provider Dentist · NPI 1396030003

Jeri Lynn Bullock, DDS is a Dentist in Midvale, Utah. Works from 2 locations. Licensed in Utah, Virginia and Vermont.

Licensed in
UT, VA, VT
In the registry since
2011
Specialties on file
3
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.

See every abbreviation used in this directory →

Practice location Address checks out

1144 E Fort Union Blvd
Midvale, UT 84047-1804
Phone: (801) 566-3118
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 319 5th Ave, Saltville, VA 24370-3418 — (276) 496-4492

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 90-0809888 (UT)
Dentist Taxonomy 122300000X · Licence 0401414490 (VA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 016.0078267 (VT)

Record details

NPI number1396030003
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 10, 2011
Last updated in NPPESJuly 21, 2022
Mailing address1144 E Fort Union Blvd, Midvale, UT 84047-1804

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