SCOTT EDWIN BULLOCH (NPI# 1821277872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821277872 |
| Entity Type | Individual |
| Full Name | SCOTT EDWIN BULLOCH |
| Credential | DDS MS |
| Practice Address |
754 S Main St Suite 5 St George UT 84770 |
| Practice Telephone | 4356521445 |
| Practice Fax Number | 4356520138 |
| Mailing Telephone | 4356521445 |
| Mailing Fax Number | 4356520138 |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2007-10-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | 2735969224 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
754 S MAIN ST SUITE 5 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245495860 | Mark Raynel Ence | Dentist | 754 S Main St, Ste. #1, St George, UT 84770-5504 | 2008-07-23 |
| 1720248578 | Sleepytime,llc | Nurse Anesthetist, Certified Registered | 754 S Main St, Suite 3, St George, UT 84770-5504 | 2008-06-16 |
| 1871620641 | Woodrow Wilson Wagner IIi | Dentist | 754 S Main St, Suite #1, St George, UT 84770-5504 | 2007-02-27 |
| 1689716664 | The Foot & Ankle Institute LLC | Durable Medical Equipment & Medical Supplies | 754 S Main St, Suite 3, St George, UT 84770-5504 | 2007-02-13 |
| 1487707741 | Mitchell D Reynolds | Registered Nurse | 754 S Main St, St George, UT 84770-5504 | 2007-01-19 |
| 1902829559 | James Norman Ence | Dentist | 754 S Main St, Ste. 1, St George, UT 84770-5504 | 2006-07-25 |
| 1518987320 | James N Ence Dds Ltd | Dentist | 754 S Main St, Ste. 1, St George, UT 84770-5504 | 2006-07-21 |
| 1972528537 | South Main Surgery Center Inc | Clinic/Center | 754 S Main St, Suite 3, St George, UT 84770-5505 | 2006-07-13 |
| 1457352445 | Allen Deheer Todd | Dentist | 754 S Main St, Suite 7, St George, UT 84770-5504 | 2005-08-02 |
| 1164422739 | Precision Implant & Oral Surgery PC | Oral & Maxillofacial Surgery | 754 S Main St, Suite 5, St George, UT 84770-5504 | 2005-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164422739 | Precision Implant & Oral Surgery PC | Oral & Maxillofacial Surgery | 754 S Main St, Suite 5, St George, UT 84770-5504 | 2005-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962918094 | Southern Utah Surgical Arts | Oral & Maxillofacial Surgery | 393 E Riverside Dr, Ste 2b, St. George, UT 84790 | 2017-12-27 |
| 1245601012 | Oral & Maxillofacial Surgeons of Utah | Oral & Maxillofacial Surgery | 2297 N Hill Field Rd, Suite 105, Layton, UT 84041-6920 | 2015-10-19 |
| 1275899809 | Utah Oral Surgery & Dental Implant Center | Oral & Maxillofacial Surgery | 6243 S Redwood Rd Ste 100, Salt Lake City, UT 84123-6408 | 2012-04-09 |
| 1790089886 | Oral Surgery Specialty | Oral & Maxillofacial Surgery | 3648 W 9800 S, South Jordan, UT 84095-3260 | 2011-01-04 |
| 1851528244 | Matthew N Maxfield | Oral & Maxillofacial Surgery | 6710 S Blackstone Rd, Ste 104, Salt Lake City, UT 84121-6232 | 2009-06-12 |
| 1619192424 | Gregory Earl Anderson | Oral & Maxillofacial Surgery | 1395 No. 400 E., Ste B, Logan, UT 84341 | 2007-04-16 |
| 1689795114 | Alvin J Stosich | Oral & Maxillofacial Surgery | 6268 S 900 E, Ste 100, Salt Lake City, UT 84121-2497 | 2007-04-02 |
| 1376607721 | Steven E Christensen | Oral & Maxillofacial Surgery | 6243 South Redwood Rd, Suite 100, Salt Lake City, UT 84123 | 2006-12-20 |
| 1548320963 | Michael S Wilkinson | Oral & Maxillofacial Surgery | 1320 N 600 E, Suite 3, Logan, UT 84341-2431 | 2006-12-08 |
| 1174604128 | Nathan G Adams | Oral & Maxillofacial Surgery | 3920 S 1100 E Ste 150, Salt Lake City, UT 84124-1266 | 2006-10-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SCOTT EDWIN BULLOCH.
| 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.