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Individual

DR. JACK C BUSHMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2234 OGLETREE VILLAGE LN, AUBURN, AL 36830-2967
(334) 539-5570
Mailing address
3346 STRATFORD LN, MONTGOMERY, AL 36111-1732
(334) 799-8701

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5931
AL

Other

Enumeration date
07/17/2012
Last updated
07/25/2025
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