Individual
DR. SAMUEL BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4740 WOODMERE BLVD, MONTGOMERY, AL 36106-3065
(334) 676-2144
Mailing address
209 WOODSIDE DR, IRONDALE, AL 35210-2519
(334) 504-0142
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6240
AL
Other
Enumeration date
06/23/2015
Last updated
02/06/2023
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