# BUSHEY ORAL AND MAXILLOFACIAL SURGERY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Michael E. Bushey, D.D.S., Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548534415
- **Authorized official:** DR. MICHAEL EDMOND BUSHEY D.D.S. (CHAIRMAN)
- **Authorized official phone:** (330) 758-0561

## Contact information

- **Practice address:** 7081 WEST BLVD., SUITE 1, YOUNGSTOWN, OH 44512
- **Practice address phone:** (330) 758-0561
- **Mailing address:** 7081 WEST BLVD., SUITE 1, YOUNGSTOWN, OH 44512
- **Mailing address phone:** (330) 758-0561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 14271 | OH | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | OH | Yes |

## Other

- **Enumeration date:** 02/24/2012
- **Last updated:** 04/07/2014