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Bush Pediatric Dentistry
Pediatric Dentist in Montgomery, Alabama
NPI 1578091815

Bush Pediatric Dentistry is a Pediatric Dentist based in Montgomery, AL and is specialized in Pediatric Dentistry. Bush Pediatric Dentistry practices in Montgomery, AL. The NPI Number for Bush Pediatric Dentistry is 1578091815 and holds a License No. 6240 (Alabama).

The current practice location address for Bush Pediatric Dentistry is 4740 Woodmere Blvd, Montgomery, AL and can be reached out via phone at 334-676-2144 and via fax at 334-676-2148.

Location: 4740 Woodmere Blvd, Montgomery, AL, 36111-2115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578091815
Provider Name
Bush Pediatric Dentistry
Credential
Provider Entity Type
Organization
Address
4740 Woodmere Blvd, Montgomery, AL, 36111-2115
Phone Number
334-676-2144
Fax Number
334-676-2148
Provider Enumeration Date
05/31/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4740 Woodmere Blvd
City
Montgomery
State
Alabama
Zip
36106-3065
Phone Number
334-676-2144
Fax Number
334-676-2148
person
Provider Business Mailing Address Details
Address
4740 Woodmere Blvd
City
Montgomery
State
Alabama
Zip
36106-3065
Phone Number
334-676-2144
Fax Number
334-676-2148
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
6240 (Alabama)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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