Bushong Dental, Pllc
Clinic/Center (Dental)

Address: 4 Dominion Dr # 250, San Antonio, TX 78257-1390
Phone: 2106871150

Bushong Dental, Pllc (NPI# 1750977914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1750977914
Entity Type Organization
Organization Name BUSHONG DENTAL, PLLC
Practice Address 4 Dominion Dr # 250
San Antonio
TX 78257-1390
Practice Telephone 2106871150
Mailing Address 14806 Circle J Trl
Helotes
TX 78023-3829
Mailing Telephone 8178513291
Authorized Official Name Dr. Perry J Bushong II (PRESIDENT)
Authorized Official Telephone 8178513291
Authorized Official Credential DDS
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-12-11
Last Update Date 2020-12-11

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QD0000X Clinic/Center · Dental Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Dominion Dental Doing Business As Name - Organization
Dominion Dental Spa Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

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1528676053 Calm Spring Dental Clinic/Center 11034 W Military Drive, Suite 104, San Antonio, TX 78251 2020-07-21
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Office Location

Street Address 4 DOMINION DR # 250
City SAN ANTONIO
State TX
Zip Code 78257-1390

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154927879 Allison R Key Physician Assistant 5044 Camp Bullis Rd, San Antonio, TX 78257 2020-12-08
1003410549 Zahra Majnoonazar Pharmacist 22135 1h-10 W, San Antonio, TX 78257 2020-11-25
1235737941 Barton Skinner Nurse Practitioner 17806 W I-10, Suite 300, San Antonio, TX 78257 2020-10-14
1639794464 Gabriel Ezequiel Cantu Behavior Technician 21727 I-10, Unit 108, San Antonio, TX 78257 2020-06-08
1588135719 Alejandro Daniel Perez Military Health Care Provider Wilderness Trl & Camp Bullis, San Antonio, TX 78257 2018-12-16
1386139434 Callie D Harris Nurse Practitioner 22135 I-10, San Antonio, TX 78257 2018-06-29
1093231326 Melissa Lauren Nguyen Military Health Care Provider 5425 Mc Williams Dr., Medical Aid Station Bldg 5425 Rm 104, San Antonio, TX 78257 2017-08-18
1902337165 Hania Alkudmani Dentist 24051 W Interstate 10, San Antonio, TX 78257 2017-03-21
1043767569 My Er Stcpr, Lp Clinic/Center 5431 North Loop 1604 West, San Antonio, TX 78257 2016-09-01
1649726381 Aaron Stares Physical Therapist 23127 Interstate Highway 10, Suite 203, San Antonio, TX 78257 2016-09-01
Find all providers in zip 78257

Competitor

Search similar providers

City SAN ANTONIO
Zip Code 78257

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.