Organization
EBENEZER BUSH, A PROFESSIONAL CORPORATION
Active
Other names
Ebenezer Bush, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EBENEZER BUSH JR. DDS (OWNER)
(310) 638-1122
Entity
Organization
Contact information
Practice address
609 S LONG BEACH BLVD, COMPTON, CA 90221-4026
(310) 638-1122
(310) 638-7565
Mailing address
609 S LONG BEACH BLVD, COMPTON, CA 90221-4026
(310) 638-1122
(310) 638-7565
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12355
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B1235501
—
CA
Enumeration date
11/19/2008
Last updated
11/19/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us