Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bush Pediatric Dentistry

Organization Pediatric Dentistry · NPI 1578091815

Bush Pediatric Dentistry is a Pediatric Dentistry in Montgomery, Alabama. Licensed in Alabama. Registered with an NPI since 2017.

Licensed in
AL
In the registry since
2017

Practice location Address checks out

4740 Woodmere Blvd
Montgomery, AL 36106-3065
Phone: (334) 676-2144
Fax: (334) 676-2148
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 6240 (AL)

Record details

NPI number1578091815
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Bush — Dentist/Owner · (334) 504-0142
NPI enumeratedMay 31, 2017
Last updated in NPPESMay 31, 2017
Mailing address3420 Lansdowne Dr, Montgomery, AL 36111-2115

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