Bush Pediatric Dentistry

LBN: Bush Pediatric Dentistry
Bush Pediatric Dentistry is an health care organization with primary practice located at 4740 Woodmere Blvd , Montgomery AL 36106-3065. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Bush Pediatric Dentistry can be contacted via phone (334) 676-2144, or through Bush, Samuel Wayne via phone (334) 504-0142.

Contact Information

Primary practice address
4740 Woodmere Blvd Montgomery AL 36106-3065
Phone: (334) 676-2144
Fax: (334) 676-2148
Website:
Map and Directions
Authorized official contact:
Name: Bush, Samuel Wayne Doctor of Dental Medicine (DMD)
Phone: (334) 504-0142

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 6240 Alabama

Profile Details

NPI number 1578091815
LBN Legal business name Bush Pediatric Dentistry
DBA Doing business as
Authorized official Bush, Samuel Wayne Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2017
Last updated May 31st, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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