Organization
FORREST KENTON BUSCH, D.O. P.C.
Active
Organization
FORREST KENTON BUSCH, D.O. P.C.
Active
Other names
Dyersburg Skin Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE ANN HORNER (OFFICE MANAGER)
(731) 286-4300
Entity
Organization
Contact information
Practice address
1950 COOK ST, DYERSBURG, TN 38024
(731) 286-4300
(731) 286-8008
Mailing address
1950 COOK ST, DYERSBURG, TN 38024
(731) 286-4300
(731) 286-8008
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
DO0000000839
TN
207N00000X
Dermatology Physician
Primary
DO0000000839
TN
208D00000X
General Practice Physician
DO0000000839
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3303355
—
TN
Enumeration date
06/07/2007
Last updated
09/10/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up