DR. JOHN A BULLOCK (NPI# 1083866248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083866248 |
| Entity Type | Individual |
| Full Name | DR. JOHN A BULLOCK |
| Credential | DMD |
| Practice Address |
29292 Sw Town Center Loop E Wilsonville OR 97070-9491 |
| Practice Telephone | 5036820431 |
| Practice Fax Number | 5036823873 |
| Mailing Telephone | 5036820431 |
| Mailing Fax Number | 5036823873 |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D7370 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063526390 | John Samuel Bullock | Pharmacist | 1000 Farm Market Road 300, Levelland, TX 79336-6235 | 2006-08-17 |
| 1942217757 | John David Bullock | Family Medicine | 1238 Highway 42, Sumrall, MS 39482 | 2006-08-02 |
| 1194799775 | John W Bullock | Physician Assistant | 2785 Boleyn Dr, Colorado Springs, CO 80920-5383 | 2006-02-13 |
| 1043705122 | John Bullock | Chore Provider | 2860 E Flamingo Rd Ste K, Las Vegas, NV 89121-5270 | 2018-06-29 |
| 1750774634 | John Robert Bullock | Ophthalmology | 2023 Professional Center Dr, Orange Park, FL 32073-4472 | 2015-03-16 |
| 1477736486 | John Herbert Bullock | Pharmacist | 460 County Road 111, Manorville, NY 11949-3372 | 2007-12-12 |
| 1811901846 | John Paul Bullock Jr. | Ophthalmology | 400 Westhampton Sta, Richmond, VA 23226-3330 | 2006-07-27 |
| Street Address |
29292 SW TOWN CENTER LOOP E |
| City | WILSONVILLE |
| State | OR |
| Zip Code | 97070-9491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386717288 | David James Corll | Chiropractor | 29292 Sw Town Center Loop E, Wilsonville, OR 97070-9491 | 2006-11-16 |
| 1780048694 | Caressa Gullikson | Chiropractor | 29292 Sw Town Center Loop E, Suite B., Wilsonville, OR 97070-9491 | 2016-04-06 |
| 1043517535 | Carolyn (welch) Ritchey | Massage Therapist | 29292 Sw Town Center Loop E, Wilsonville, OR 97070-9491 | 2011-02-17 |
| 1225341415 | Thomas Clark | Dentist | 29292 Sw Town Center Loop E, Wilsonville, OR 97070-9491 | 2010-07-16 |
| 1003046731 | Wilsonville Dental Group | Dentist | 29292 Sw Town Center Loop E, Wilsonville, OR 97070-9491 | 2009-07-15 |
| 1407008568 | Terrence A Clark | Dentist | 29292 Sw Town Center Loop E, Wilsonville, OR 97070-9491 | 2008-10-21 |
| 1093984668 | Complete Care Chiropractic PC | Preferred Provider Organization | 29292 Sw Town Center Loop E, Suite B, Wilsonville, OR 97070-9491 | 2008-02-27 |
| 1679621080 | Wilsonville Dental Group PC | Dentist | 29292 Sw Town Center Loop E, Wilsonville, OR 97070 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457995896 | Rosalyn Sharon Mckinney | Technician | 7798 Sw Vlahos Dr, Wilsonville, OR 97070 | 2019-10-29 |
| 1275027393 | Oregon Regeneration Stem Cell Medical Center, LLC | Chiropractor | 29781 Sw Town Center Loop, Wilsonville, OR 97070 | 2018-06-21 |
| 1073050472 | Kirstin Marie Lauritzen | Chiropractor | 25589 Sw Canyon Creek Rd Ste 100, Wilsonville, OR 97070 | 2017-01-23 |
| 1932642220 | Nicole Galasso | Occupational Therapy Assistant | 25117 Sw Parkway Avenue Suite D, Wilsonville, OR 97070 | 2016-11-18 |
| 1508317512 | Justin Langlais | Naturopath | 25195 Sw Parkway Ave Ste 210, Wilsonville, OR 97070 | 2016-10-14 |
| 1518411149 | Stephanie Tran | Optometrist | 29250 Town Center Loop W, Wilsonville, OR 97070 | 2016-08-11 |
| 1346610607 | Rachel Ziegler | Occupational Therapy Assistant | 25117 Sw Parkway Ave Suite D, Willsonville, OR 97070 | 2015-09-30 |
| 1992184238 | Michelle Miranda | Counselor | 30150 Sw Parkway Ave Ste 300, Wilsonville, OR 97070 | 2015-05-19 |
| 1609275007 | Ryan Bridges | Dentist | 30040 Sw Boones Ferry Rd Ste 20, Wilsonville, OR 97070 | 2014-08-21 |
| 1649604018 | Jason Russell James | Physical Therapist | 29174 Sw Town Center Loop W # 202b, Wilsonville, OR 97070 | 2013-08-21 |
| Find all providers in zip 97070 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821497132 | Denise C Gates | Dentist | 29990 Sw Town Center Loop W, Suite A, Wilsonville, OR 97070-9425 | 2014-08-22 |
| 1346516192 | Wilsonville Smiles PC | Dentist | 30040 Sw Boones Ferry Road, Suite 20, Wilsonville, OR 97070 | 2012-03-27 |
| 1538434014 | Village Dental | Dentist | 29174 Sw Town Center Loop W, 201, Wilsonville, OR 97070-9306 | 2012-03-15 |
| 1871875401 | Villebois Dental, LLC | Dentist | 28900 Sw Villebois Dr N Ste D, Wilsonville, OR 97070-7347 | 2011-09-09 |
| 1346417748 | Mack S Johnsen Dmd PC | Dentist | 29990 Sw Town Center Lp, Suite A, Wilsonville, OR 97070 | 2008-05-14 |
| 1205008034 | Mack S Johnsen | Dentist | 29990 Sw Town Center Loop W Suite A, Wilsonville, OR 97070 | 2008-04-01 |
| 1962554584 | Brock Van Gordon | Dentist | 30045 Sw Parkway Ave, Wilsonville, OR 97070-9735 | 2007-01-16 |
| 1851455935 | Jeffrey Dewey | Dentist | 25700 Sw Argyle Ave, Wilsonville, OR 97070-5799 | 2006-12-21 |
| 1891801205 | Annette Marie Pearson | Dentist | 8229 Sw Wilsonville Rd, 6ab, Wilsonville, OR 97070-7716 | 2006-08-21 |
| 1548271364 | Town Center Dental Care Inc | Dentist | 8263 Sw Wilsonville Rd, Ste C, Wilsonville, OR 97070 | 2006-08-10 |
| Find all providers in WILSONVILLE | ||||
| City | WILSONVILLE |
| Zip Code | 97070 |
Please comment or provide details below to improve the information on DR. JOHN A BULLOCK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.