Active NPI
Precision Dental Specialties PLLC
- Oral and Maxillofacial Surgery (Dentist)
- St George, UT
National Provider Identifier
1912766882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- PRECISION DENTAL SPECIALTIES PLLC
- Practice address
- 754 S Main St Ste 5
St George, UT 84770-5519 - Phone
- (435) 652-1445
- NPI assigned
- Mar 14, 2024
- Last updated
- Apr 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandon Scott Bulloch, DDS,MS
- Title
- Doctor
- Phone
- (435) 652-1445
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | NU | ||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | NU | Primary |
Addresses
Primary practice location
754 S Main St Ste 5
St George, UT 84770-5519
Mailing address
754 S Main St Ste 5
St George, UT 84770-5519
Phone (435) 652-1445
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714435200000",
"number": "1912766882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "754 S MAIN ST STE 5",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847705519",
"telephone_number": "435-652-1445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "754 S MAIN ST STE 5",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847705519",
"telephone_number": "435-652-1445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECISION DENTAL SPECIALTIES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-14",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A",
"authorized_official_last_name": "BULLOCH",
"authorized_official_first_name": "BRANDON",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "435-652-1445",
"authorized_official_credential": "DDS,MS"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
- Sadie Nichelle Powell, RN
- Syrennalee Powell
- Grace Kathleen Powers
- Morgan Hill Pratt, PA-C
- Praxair Healthcare Services, Inc.
- Precision Hearing Aid LLC
- Precision Implant & Oral Surgery PC (Scott E Bulloch DDS, MS)
- Preece Family Chiropractic (TruHealth - Family Chiropractic & Wellness)
- Braxton Preece
- Jocalyn Preece
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.