JOSEPH ROBERT BULLOCK (NPI# 1134497639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134497639 |
| Entity Type | Individual |
| Full Name | JOSEPH ROBERT BULLOCK |
| Credential | DDS |
| Practice Address |
2825 Ne West Devils Lake Rd Lincoln City OR 97367-5128 |
| Practice Telephone | 5419943033 |
| Practice Fax Number | 5419946489 |
| Mailing Telephone | 5419943033 |
| Mailing Fax Number | 5419946489 |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2016-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D5918 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679170724 | Joseph E Bullock Jr. | Counselor | 8757 Thornbrook Dr, Odenton, MD 21113-3409 | 2020-10-01 |
| 1982117487 | Joseph Bullock | Nurse Practitioner | 120 Sister Pierre Dr Ste 403, Towson, MD 21204-7536 | 2017-11-07 |
| 1467432666 | Joseph D. Bullock | Allergy & Immunology | 8080 Ravines Edge Ct, Columbus, OH 43235-5424 | 2006-01-23 |
| Street Address |
2825 NE WEST DEVILS LAKE RD |
| City | LINCOLN CITY |
| State | OR |
| Zip Code | 97367-5128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376095216 | Kayla Eliott | Dentist | 2825 Ne West Devils Lake Rd, Lincoln City, OR 97367-5128 | 2016-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881256121 | Amanda Suzanne Cherryholmes | Peer Specialist | 1206 Se 48th Place, Montgomery, Lincoln City, OR 97367 | 2019-07-08 |
| 1982198719 | Lakeside Family Dentistry | Dentist | 3173 Ne West Devils Lake Rd., Lincoln City, OR 97367 | 2018-06-15 |
| 1891282117 | Mark J Lee | Marriage & Family Therapist | 412 Southwest Highway 101, Lincoln City, OR 97367 | 2018-04-23 |
| 1508130196 | Michelle Marie Becker | Pharmacist | 1030 Se Oar Ave Bi-mart, Lincoln City, OR 97367 | 2012-02-29 |
| 1457651465 | Laurene Norelle Alcocer | Pharmacist | 4048 Ne Hwy 101, Lincoln City, OR 97367 | 2010-10-25 |
| 1518106228 | Estate of Kevin L. Chancellor | Dentist | 3173 Ne West Devils Lake Rd, Lincoln City, OR 97367 | 2009-02-19 |
| 1346403656 | Lincoln City Pharmacy & Gifts | Pharmacy | 1800 Se Hwy 101, Suite C, Lincoln City, OR 97367 | 2008-07-07 |
| 1841487139 | Assisted Living Concepts Inc | Assisted Living Facility | 1400 Se 19th, Lincoln City, OR 97367 | 2007-10-01 |
| 1376741074 | Frank Wesley Nettleship | Dentist | 9101 Keys Place, Lincoln City, OR 97367 | 2007-07-05 |
| 1306043989 | Julie Anne Bass | Case Manager/Care Coordinator | 4402 Devils Lake Blvd #2, Lincoln City, OR 97367 | 2007-06-28 |
| Find all providers in zip 97367 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376741074 | Frank Wesley Nettleship | Dentist | 9101 Keys Place, Lincoln City, OR 97367 | 2007-07-05 |
| 1679799258 | Michael David Harris | Dentist | Interdent, 2825 West Devils Lake Rd, Lincoln City, OR 97367 | 2007-04-18 |
| 1285677799 | Jane Malin Espeseth | Dentist | 2825 Ne W Devils Lk Rd, Lincoln City, OR 97367-5128 | 2006-06-13 |
| 1376095216 | Kayla Eliott | Dentist | 2825 Ne West Devils Lake Rd, Lincoln City, OR 97367-5128 | 2016-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573237 | Ishpreet Kaur | Dentist | 1759 N Riverside Ave, Medford, OR 97501-4628 | 2020-09-17 |
| 1336754456 | Springfield Dental Partners LLC | Dentist | 498 Harlow Rd Ste 2, Springfield, OR 97477-1339 | 2020-09-15 |
| 1790390060 | Tyler Joseph Craven | Dentist | 4515 Se Harrison St, Milwaukie, OR 97222-5221 | 2020-09-13 |
| 1972117588 | Medical Teams International | Dentist | 14150 Sw Milton Ct, Portland, OR 97224-8024 | 2020-09-01 |
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1801400684 | Michael Carreon | Dentist | 1332 Sw Highland Ave, Redmond, OR 97756-2640 | 2020-08-31 |
| 1679196190 | Members Plus Dental | Dentist | 156 Catron St N, Monmouth, OR 97361-2303 | 2020-05-19 |
| 1265054175 | Members Plus Dental, LLC | Dentist | 2220 9th Ave Se Ste B, Albany, OR 97322-5000 | 2020-05-13 |
| 1619504164 | Anna Nicole Gerlach | Dentist | 1915 Ne Baker St, Mcminnville, OR 97128-2601 | 2020-03-25 |
| 1598391054 | Slater Family Dental, PC | Dentist | 18540 Sw Vincent, Aloha, OR 97078 | 2020-03-17 |
| Find all providers with the same taxonomy | ||||
| City | LINCOLN CITY |
| Zip Code | 97367 |
Please comment or provide details below to improve the information on JOSEPH ROBERT 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.