Individual
DR. BRADLEY S BUSBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
318 JOHNNY MERCER BLVD STE 12, SAVANNAH, GA 31410-2196
(912) 897-4548
(912) 897-7311
Mailing address
318 JOHNNY MERCER BLVD STE 12, SAVANNAH, GA 31410-2196
(912) 897-4548
(912) 897-7311
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3811
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1303310
UNITED CONCORDIA
—
05
—
ZX3811
—
SC
Enumeration date
01/25/2007
Last updated
11/02/2012
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