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

Bushong Dental, PLLC

Organization Dental Clinic/Center · NPI 1750977914

Bushong Dental, PLLC is a Dental Clinic/Center in San Antonio, Texas. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4 Dominion Dr # 250
San Antonio, TX 78257-1390
Phone: (210) 687-1150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1750977914
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Perry Bushong — President · (817) 851-3291
Other names Dominion Dental; Dominion Dental Spa
NPI enumeratedDecember 11, 2020
Last updated in NPPESDecember 11, 2020
Certification dateDecember 11, 2020
Mailing address14806 Circle J Trl, Helotes, TX 78023-3829

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