Clarence Edward Bush in Bainbridge - General Practice
Clarence Edward Bush - NPI 1659399731
Clarence Edward Bush is a General Practice in Bainbridge, Georgia. Clarence Edward Bush practices all healthcare services and medical treatments related to General Practice. The NPI Number for Clarence Edward Bush is 1659399731. The last update date is 2012-04-26.
Clarence Edward Bush's current location address is 144 Whigham Dairy Road, Bainbridge, Georgia. You can contact this provider via phone number 2292469986 and fax number 2292467492. The mailing address for Clarence Edward Bush is 144 Whigham Dairy Road, Bainbridge, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clarence Edward Bush |
|---|---|
| Address | 144 Whigham Dairy Road, Bainbridge, Georgia |
| Phone Number | 2292469986 |
| Fax Number | 2292467492 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1659399731 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2012-04-26 |
Provider Mailing Address Detail
| Address | 144 Whigham Dairy Road |
|---|---|
| City | Bainbridge |
| State | Georgia (GA) |
| Post Code | 398180878 |
| Phone Number | 2292469986 |
| Fax Number | 2292467492 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 11667 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00824601A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Clarence Edward Bush by the Centers for Medicare & Medicaid Services?
The Clarence Edward Bush has been issued the NPI (National Provider Identifier) 1659399731 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Clarence Edward Bush's physical address?
The Clarence Edward Bush is physically located at 144 Whigham Dairy Road, in the city of Bainbridge, GA, with the postal code 398180878.
What is the Clarence Edward Bush's area of specialization and corresponding taxonomy classification?
The Clarence Edward Bush's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Clarence Edward Bush receive its 1659399731 assignment from the Centers for Medicare & Medicaid Services?
The Clarence Edward Bush was assigned its 1659399731 by the Centers for Medicare & Medicaid Services on 2006-07-17.
When was the Clarence Edward Bush's information last updated?
The Clarence Edward Bush's information was last updated on 2012-04-26.