Bush Family Dentistry | |
1717 Shipyard Blvd Ste 120 Wilmington NC 28403-8019 | |
(910) 313-1511 | |
(910) 313-2520 |
Full Name | Bush Family Dentistry |
---|---|
Speciality | Dentist - General Practice |
Location | 1717 Shipyard Blvd, Wilmington, North Carolina |
Authorized Official Name and Position | Karen D. Bush (OWNER) |
Authorized Official Contact | 9103131511 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bush Family Dentistry 1717 Shipyard Blvd Ste 120 Wilmington NC 28403-8019 Ph: (910) 313-1511 | Bush Family Dentistry 1717 Shipyard Blvd Ste 120 Wilmington NC 28403-8019 Ph: (910) 313-1511 |
NPI Number | 1114038429 |
---|---|
Provider Enumeration Date | 08/31/2006 |
Last Update Date | 04/06/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114038429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 6805 (North Carolina) | Primary |
1223G0001X | Dentist - General Practice | 6905 (North Carolina) | Secondary |
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