MEDICARE: MR. FRANCIS MARION BUSH JR.

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
1	1223G0001X	General Practice Dentistry	0401005092	VA

General Provider Information

NPI Number	:	1538142237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FRANCIS MARION BUSH JR.

Provider Business Mailing Address
First Line	:	13411 TORRINGTON DR
Second Line	:
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23113-3873
Country	:	US
Telephone Number	:	804-794-5256
Fax Number	:

Provider Business Practice Location Address
First Line	:	1680 HUGUENOT RD
Second Line	:
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23113-2427
Country	:	US
Telephone Number	:	804-379-7120
Fax Number	:	804-379-9835

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2005
Last Update Date	:	03/11/2009

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