Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578862777 Individual Practitioner Male Practitioner

Dr. Jonathan L Bullard , DMD

Dentist - General Practice • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Bullard, DMD is a registered healthcare professional specializing in Dentist - General Practice in Augusta, GA. Practice services are available at 3702 WASHINGTON RD. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3702 Washington Rd.

Augusta, GA 309072848

Telephone 7068635337
Fax 7068558249
Associated Practice Facility / Clinic
🏢 Bullard Dental Facility NPI 1528412707

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
124 Specialists

Practicing in Augusta, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN014101

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 - General Practice

NUCC Taxonomy Code: 1223G0001X

State License SC 6964

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1508061805

Doctor of Dental Medicine

Dr. Shaghayegh Afzal-Asr , DMD

Dentist - General Practice

NPI 1790521367

Doctor of Dental Medicine

NPI 1790980902

Doctor of Dental Medicine

NPI 1982334132

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 22, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 22, 2011

Registered at 3702 WASHINGTON RD., AUGUSTA, GA 309072848 (Tel: 7068635337)

📍
Updated Business Mailing Address October 22, 2011

Registered at 3702 WASHINGTON RD., AUGUSTA, GA 309072848 (Tel: 7068635337)

👤
Provider Name / Credentials Updated October 22, 2011

Recorded as JONATHAN BULLARD, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2011

Dentist (License #DN014101 in GA)

🟢
Initial NPI Registration & Enumeration March 28, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578862777
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2011
Last Update: October 22, 2011
Sole Proprietor: No

Mailing Address

3702 Washington Rd.

Augusta, GA 309072848

Phone: 7068635337

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.