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PRECISION IMPLANT & ORAL SURGERY PC NPI 1164422739


NPI Information

NPI: 1164422739
Provider Name: PRECISION IMPLANT & ORAL SURGERY PC

Doing Business As: SCOTT E BULLOCH DDS, MS

Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
754 S MAIN ST
SUITE 5
ST GEORGE, UT
ZIP 84770
Phone: (435) 652-1445
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PRECISION IMPLANT & ORAL SURGERY PC is an oral maxillofacial surgery in St George, UT. The provider is 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. PRECISION IMPLANT & ORAL SURGERY PC NPI is 1164422739. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Scott E Bulloch Dds, Ms.

The provider's business location address is:

754 S MAIN ST
SUITE 5
ST GEORGE, UT
ZIP 84770-504
Phone: (435) 652-1445
Fax: (435) 652-0138

The provider's authorized official is Scott Edwin Bulloch .
The authorized official title is President and has the following contact phone number (435) 652-1445.

The enumeration date for this NPI number is 7/26/2005 and was last updated on 10/12/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204E00000XOral & Maxillofacial Surgery273596-9924UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1005746301MEDICARE ID-TYPE UNSPECIFIED
2U52151MEDICARE UPIN
3562454357012MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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