| Dr. Hector M. Bush, P. C. | |
|
5140 Jimmy Lee Smith Pkwy Building B Suite 105 Hiram GA 30141-2745 | |
| (770) 222-4450 | |
| (770) 222-4420 |
| Full Name | Dr. Hector M. Bush, P. C. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5140 Jimmy Lee Smith Pkwy, Hiram, Georgia |
| Authorized Official Name and Position | Robert Zayas (MANAGER) |
| Authorized Official Contact | 7063427272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Hector M. Bush, P. C. 1828 Jonesboro Rd Mcdonough GA 30253-5960 Ph: (678) 432-8505 | Dr. Hector M. Bush, P. C. 5140 Jimmy Lee Smith Pkwy Building B Suite 105 Hiram GA 30141-2745 Ph: (770) 222-4450 |
| NPI Number | 1346474368 |
|---|---|
| Provider Enumeration Date | 05/05/2009 |
| Last Update Date | 05/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346474368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 011309 (Georgia) | Primary |
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