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

Roosevelt Bush Jr., DDSMPH

Individual provider Dentist · NPI 1447302096

Roosevelt Bush Jr., DDSMPH is a Dentist in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007

Practice location Address checks out

1111 Park Ave
Baltimore, MD 21201-5656
Phone: (410) 383-1800
Fax: (410) 772-5782
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 4090 (MD)

Record details

NPI number1447302096
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSMPH
Sole proprietorNo
NPI enumeratedJanuary 16, 2007
Last updated in NPPESJuly 8, 2007

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