Individual
DR. BYRON VICTOR BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2908 SIDCO DR, NASHVILLE, TN 37204-3759
(615) 401-1103
(615) 678-4381
Mailing address
2908 SIDCO DR, NASHVILLE, TN 37204-3759
(615) 401-1103
(615) 678-4381
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS3134
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27-4086301
TAX ID
TN
Enumeration date
10/28/2005
Last updated
09/25/2013
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