# BRENT R. BUSH, DDS & KAREN D. BUSH, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bush Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114038429
- **Authorized official:** DR. KAREN D. BUSH DDS (OWNER)
- **Authorized official phone:** (910) 313-1511

## Contact information

- **Practice address:** 1717 SHIPYARD BLVD, STE 120, WILMINGTON, NC 28403-8019
- **Practice address phone:** (910) 313-1511
- **Practice address fax:** (910) 313-2520
- **Mailing address:** 1717 SHIPYARD BLVD, STE 120, WILMINGTON, NC 28403-8019
- **Mailing address phone:** (910) 313-1511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6805 | NC | Yes |
| 1223G0001X | General Practice Dentistry | 6905 | NC | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 04/06/2017