✓ Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) (122300000X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

JOHN WILLIAM BULL, DDS (NPI #1720078058)

Dentist • GRAND JUNCTION, CO • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1720078058
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
122300000X (CMS C5)
Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
Box 32 Service Location & ZIP+4
2226 DOGWOOD CT, GRAND JUNCTION, CO, 81506-8402
✓ 9-Digit EDI 837 ZIP+4 (81506-8402)
Practice Phone & Referral Fax
Fax: (970) 256-9467
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1720078058 (JOHN WILLIAM BULL, DDS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1720078058 (NPI-1 Individual Practitioner)
Provider / Legal NameJOHN WILLIAM BULL, DDS
Plain-English SpecialtyLicensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
NUCC Code: 122300000X (Dentist)
Certifying / Licensing BodyAmerican Dental Association (ADA) / State Board of Dental Examiners
Practice Location Address2226 DOGWOOD CT, GRAND JUNCTION, CO, 81506-8402
Practice Telephone / FaxTel: (970) 242-3362 | Fax: (970) 256-9467
Administrative Mailing Address2226 DOGWOOD CT, GRAND JUNCTION, CO, 81506-8402
Enumeration & Last SyncEnumerated: 2005-10-27 | CMS Record Updated: 2021-07-28

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2226 DOGWOOD CT, GRAND JUNCTION, CO, 81506-8402

🗺️ Open in Google Maps 🏥 More Providers in GRAND JUNCTION

Plain-English Taxonomy & CMS Crosswalk (122300000X)

What Does Taxonomy Code 122300000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 122300000X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code C5 (Dentist)
Certifying / Accrediting Authority: American Dental Association (ADA) / State Board of Dental Examiners
Clinical Scope: Routine 6-month dental checkups, toothache, dental abscess, bleeding gums (periodontitis), or wisdom tooth extraction.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JOHN WILLIAM BULL, DDS)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
  • Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions
Common Therapeutic Classes:
  • Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
  • Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
1223P0221X — Dentist, Pediatric Dentistry
Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
State: CO | License: 0167 | Primary: Secondary
122300000X — Dentist
Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
State: CO | License: 00000167 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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