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NPI Code Detail

MEDICARE: DR. JAMES LARRY BUSH DDS

MEDICARE:  DR. JAMES LARRY BUSH  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDS3213TN

General Provider Information

NPI Number : 1225163298
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES LARRY BUSH DDS
Provider Business Mailing Address
First Line : 911 MEADOWLARK LN
Second Line :
City : GOODLETTSVILLE
State : TN
Zip : 37072-2309
Country : US
Telephone Number : 615-851-6800
Fax Number : 615-851-0392
Provider Business Practice Location Address
First Line : 911 MEADOWLARK LN
Second Line :
City : GOODLETTSVILLE
State : TN
Zip : 37072-2309
Country : US
Telephone Number : 615-851-6800
Fax Number : 615-851-0392
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2007
Last Update Date : 07/08/2007

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Directions to “ DR. JAMES LARRY BUSH DDS” Practice Location

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