| Bushong Dental, Pllc | |
|
4 Dominion Dr # 250 San Antonio TX 78257-1390 | |
| (210) 687-1150 | |
| Not Available |
| Full Name | Bushong Dental, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4 Dominion Dr # 250, San Antonio, Texas |
| Authorized Official Name and Position | Perry J Bushong (PRESIDENT) |
| Authorized Official Contact | 8178513291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bushong Dental, Pllc 14806 Circle J Trl Helotes TX 78023-3829 Ph: (817) 851-3291 | Bushong Dental, Pllc 4 Dominion Dr # 250 San Antonio TX 78257-1390 Ph: (210) 687-1150 |
| NPI Number | 1750977914 |
|---|---|
| Provider Enumeration Date | 12/11/2020 |
| Last Update Date | 12/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750977914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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