IndividualActive
Luther Bullock, D.D.S.
NPI 1063584530 · Dentist · Salem, OR
Luther Bullock, D.D.S. is a Dentist provider in Salem, OR (NPI 1063584530).
Provider details
- NPI number
- 1063584530
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- D8385 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3694 Bayonne Dr.
Salem, OR 97317-5393
Phone: (503) 689-1838
Street-level locationGet directions
Mailing address
3694 Bayonne Dr.
Salem, OR 97317-5393
Registry dates
- Enumerated
- 2006-11-13
- Last updated
- 2012-01-12
Frequently asked questions
- What is Luther Bullock's NPI number?
- Luther Bullock's National Provider Identifier (NPI) is 1063584530, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Luther Bullock's specialty?
- Luther Bullock is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Luther Bullock located?
- Luther Bullock's practice location on file with NPPES is 3694 Bayonne Dr., Salem, OR 97317-5393.
- What is Luther Bullock's phone number?
- The practice phone number listed in the NPPES registry for Luther Bullock is (503) 689-1838.
- Is Luther Bullock's NPI active?
- Yes — Luther Bullock's NPI (1063584530) is active in the NPPES registry as of the last update on 2012-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.