Healthcare Provider Details

I. General information

NPI: 1831026186
Provider Name (Legal Business Name): FRIENDSHIP DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 E BUTLER RD STE B3
MAULDIN SC
29662-2170
US

IV. Provider business mailing address

636 DEAN RD
GREER SC
29651-7454
US

V. Phone/Fax

Practice location:
  • Phone: 864-297-6432
  • Fax:
Mailing address:
  • Phone: 859-380-7290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES BUSH
Title or Position: OWNER DENTIST
Credential: DMD
Phone: 859-380-7290