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).
| 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 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 261QD0000X | Clinic/Center · Dental | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dominion Dental | Doing Business As Name - Organization |
| Dominion Dental Spa | Doing Business As Name - Organization |
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587431 | Mysa Dental Pllc | Clinic/Center | 13762 Potranco Rd, Suite 400, San Antonio, TX 78253 | 2020-10-30 |
| 1932706173 | Crossway Dental Care Pllc | Clinic/Center | 16616 San Pedro Ave, San Antonio, TX 78232-2223 | 2020-10-01 |
| 1902410699 | Bigway Family Dental Pllc | Clinic/Center | 11930 U.s . Hwy. 90, West, Suite 106, San Antonio, TX 78252 | 2020-09-01 |
| 1528676053 | Calm Spring Dental | Clinic/Center | 11034 W Military Drive, Suite 104, San Antonio, TX 78251 | 2020-07-21 |
| 1811516164 | Solorzano and Soto Dds P.l.l.c. | Clinic/Center | 14603 Huebner Rd Bldg 14, San Antonio, TX 78230-5483 | 2020-04-15 |
| 1821629080 | C3tsd Enterprises Pllc | Clinic/Center | 523 Med Ct # 106, San Antonio, TX 78258-3359 | 2020-01-27 |
| 1649814294 | Dental Oral Care, Pllc | Clinic/Center | 23535 W Interstate 10 Ste 2202, San Antonio, TX 78257-1673 | 2019-11-06 |
| 1194374801 | Joseph S Boyle Dds Pa | Clinic/Center | 7718 Louis Pasteur Ct Ste 101, San Antonio, TX 78229-3654 | 2019-09-05 |
| 1093368342 | Dental Hut Pllc | Clinic/Center | 5514 Lone Star Pkwy Ste 111, San Antonio, TX 78253-6770 | 2019-07-16 |
| 1639633480 | Empire Dental | Clinic/Center | 1915 Rogers Road, San Antonio, TX 78251-7825 | 2019-01-25 |
| Find all providers in SAN ANTONIO | ||||
| Street Address |
4 DOMINION DR # 250 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78257-1390 |
| 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 | ||||
| City | SAN ANTONIO |
| Zip Code | 78257 |
Please comment or provide details below to improve the information on Bushong Dental, Pllc.
| 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.