Individual
DR. JOHN RICHARD BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20 CLINTON AVE, JAMESTOWN, RI 02835
(401) 423-2110
(401) 423-9224
Mailing address
20 CLINTON AVE, JAMESTOWN, RI 02835
(401) 423-2110
(401) 423-9224
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1553
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80356
BLUE CROSS DENTAL
—
05
—
JB04157
—
RI
Enumeration date
02/27/2007
Last updated
07/08/2007
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