# PRECISION IMPLANT & ORAL SURGERY PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Scott E Bulloch DDS, MS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164422739
- **Authorized official:** DR. SCOTT EDWIN BULLOCH DDS, MS (PRESIDENT)
- **Authorized official phone:** (435) 652-1445

## Contact information

- **Practice address:** 754 S MAIN ST, SUITE 5, ST GEORGE, UT 84770-5504
- **Practice address phone:** (435) 652-1445
- **Practice address fax:** (435) 652-0138
- **Mailing address:** 754 S MAIN ST, SUITE 5, ST GEORGE, UT 84770-5504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 273596-9924 | UT | Yes |

## Other

- **Enumeration date:** 07/26/2005
- **Last updated:** 10/12/2017