# DR. SHMUEL DABUSH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619407053
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 10148 | SC | — |
| 122300000X | Dentist | 9970 | KY | — |
| 1223G0001X | General Practice Dentistry | 9970 | KY | — |
| 1223P0221X | Pediatric Dentistry | 10284 | SC | Yes |

## Other

- **Enumeration date:** 06/18/2017
- **Last updated:** 07/08/2022