| Clarence E. Bush, D.m.d., P.c. | |
|
144 Whigham Dairy Rd Bainbridge GA 39817-7833 | |
| (229) 246-9986 | |
| (229) 246-7492 |
| Full Name | Clarence E. Bush, D.m.d., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 144 Whigham Dairy Rd, Bainbridge, Georgia |
| Authorized Official Name and Position | Clarence Edward Bush (PRESIDENT) |
| Authorized Official Contact | 2292469986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarence E. Bush, D.m.d., P.c. 144 Whigham Dairy Rd P.o. Box 878 Bainbridge GA 39817-7833 Ph: (229) 246-9986 | Clarence E. Bush, D.m.d., P.c. 144 Whigham Dairy Rd Bainbridge GA 39817-7833 Ph: (229) 246-9986 |
| NPI Number | 1760740831 |
|---|---|
| Provider Enumeration Date | 04/26/2012 |
| Last Update Date | 04/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760740831 | NPI | - | NPPES |
| 00824601A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 011667 (Georgia) | Primary |
Georgia Dental Associates Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Amelia Ave, Bainbridge, GA 39819 Phone: 229-246-3023 | |
Georgia Dental Associates, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Amelia Ave, Bainbridge, GA 39819 Phone: 229-246-3023 Fax: 229-246-0073 | |
Port City Family Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 709 E Shotwell St, Bainbridge, GA 39819 Phone: 229-246-5081 Fax: 229-246-5011 | |
Jimmy F Maxwell Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Amelia Avenue, Bainbridge, GA 39818 Phone: 229-246-3023 Fax: 229-246-3024 | |
Nicholas V. Adams Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 S West St, Bainbridge, GA 39819 Phone: 229-246-2366 |