OrganizationActive
John A. Bullock DMD LLC
NPI 1467687137 · Dental Clinic/Center · Tualatin, OR
Provider details
- NPI number
- 1467687137
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Bullock, Managing Member(503) 691-9400
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
18813 Sw Martinazzi Ave
Tualatin, OR 97062-6807
Phone: (503) 691-9400
Fax: (503) 691-9439
Street-level locationGet directions
Mailing address
18813 Sw Martinazzi Ave
Tualatin, OR 97062-6807
Other names (DBA / former)
- Doing business as
- Bullock Family Dental
Registry dates
- Enumerated
- 2009-05-23
- Last updated
- 2009-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.