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Individual

DR. NICHOLAS T BUSHEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
17194 PRESTON RD STE 160, DALLAS, TX 75248-1264
(214) 453-2565
Mailing address
1024 GALLIVANT LN, DALLAS, TX 75218-3939
(813) 422-4178

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
29537
TX
122300000X
Dentist
30-023121
OH
1223P0221X
Pediatric Dentistry
Primary
29537
TX

Other

Enumeration date
10/06/2009
Last updated
09/09/2020
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