Bullock, Jason Matthew

Bullock, Jason Matthew is an individual health care provider with primary practice located at 7101 Hoff St , Fort Benning GA 31905-5645. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bullock, Jason Matthew can be contacted via phone (706) 544-4559.

Contact Information

Primary practice address
7101 Hoff St Fort Benning GA 31905-5645
Phone: (706) 544-4559
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8895 Kentucky

Profile Details

NPI number 1093021545
LBN Legal business name Bullock, Jason Matthew
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2010
Last updated Mar 30th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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