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Dr. Jeri Lynn Bullock , DDS

Dentist - General Practice • Midvale, UT

Active NPI 1396030003 Individual Practitioner Female Practitioner
Practice location in NPPES

1144 E Fort Union Blvd
Midvale, UT 840471804

Call 8015663118 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1144 E Fort Union Blvd

Midvale, UT 840471804

Telephone 8015663118
Organization at the Same NPPES Address or Phone
Midvale Modern Dentistry, Llp Facility NPI 1407112469

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Saltville, VA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

30-day fills

34 standardized 30-day fills in 2017

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$200 in 2017

The total cost of these prescriptions in 2017, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2017.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Midvale and Utah

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Bullock are from 2017.

21 active clinicians are listed under Dentist - General Practice with a practice address in Midvale, UT (1,319 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Midvale

0% of these 21 clinicians have the CMS telehealth indicator.

0% of these 21 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2017), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2017.

CMS Part D · Data Year 2017
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 21 122 $72.53 16
Clindamycin Hcl Clindamycin Hcl 13 88 $127.95 11

Source: CMS Part D by Provider and Drug, 2017; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES UT 90-0809888

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.

Dentist

NUCC Taxonomy Code: 122300000X

License # reported to NPPES VA 0401414490

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES VT 016.0078267

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1019260 (VT)

Secondary Practice Locations

319 5th Ave

Saltville, VA 243703418

Phone: 2764964492

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1588049233

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
âś…
NPI Profile Active September 02, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 02, 2017

Registered at 1144 E FORT UNION BLVD, MIDVALE, UT 840471804 (Tel: (801) 566-3118)

📍
Updated Business Mailing Address September 02, 2017

Registered at 1144 E FORT UNION BLVD, MIDVALE, UT 840471804 (Tel: (801) 566-3118)

👤
Provider Name / Credentials Updated September 02, 2017

Recorded as JERI BULLOCK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2017

Dentist (license number reported to NPPES: VA 0401414490)

âś…
NPI Profile Active October 27, 2014

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) October 27, 2014

Registered at 319 5TH AVE, SALTVILLE, VA 243703418 (Tel: 2764964492)

📍
Business Mailing Address (Initial Record) October 27, 2014

Registered at 319 5TH AVE, PO BOX 729, SALTVILLE, VA 243703418 (Tel: 2764964492)

👤
Provider Name / Credentials (Initial Record) October 27, 2014

Recorded as JERI BULLOCK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2014

Dentist (license number reported to NPPES: VA 0401414490)

🟢
Initial NPI Registration & Enumeration June 10, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1396030003
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2011
Last Update: July 21, 2022
Sole Proprietor: No

Other Dentist - General Practices in Midvale

All Dentist - General Practices in Midvale

Mailing Address

1144 E Fort Union Blvd

Midvale, UT 840471804

Phone: 8015663118

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.