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General NPI Number Information
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NPI Number | 1831026186
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Entity Type | Organization
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Legal Business Name | FRIENDSHIP DENTAL LLC
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Dates
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Enumeration Date | 05/08/2026
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Last Update Date | 05/08/2026
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Provider Practice Location Address
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Address Line | 211 E BUTLER RD STE B3
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City | MAULDIN
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State | SC
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Zip | 29662-2170
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Country | US
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Telephone | 864-297-6432
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Fax |
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Provider Business Mailing Address
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Address Line | 636 DEAN RD
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City | GREER
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State | SC
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Zip | 29651-7454
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Country | US
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Telephone | 859-380-7290
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. JAMES BUSH
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Credential | DMD
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Telephone | 859-380-7290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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