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

Todd Moroni Bushman, DMD

Individual provider Pediatric Dentistry · NPI 1831322668

Todd Moroni Bushman, DMD is a Dentist in Waco, Texas. Qualified in 2009, 17 years ago. Works from 3 locations. Licensed in Texas.

Years since qualifying
17
Licensed in
TX
In the registry since
2009
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

1121 Lake Air Dr
Waco, TX 76710-4417
Phone: (254) 772-8330
Show map & directions

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

Additional practice locations (2)

  • 412 Lake Rd, Belton, TX 76513-1402 — (254) 933-7760
  • 1600 Providence Dr, Waco, TX 76707-2261 — (254) 750-8200

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 24908 (TX)
Dentist Taxonomy 122300000X · Licence 24908 (TX)

Record details

NPI number1831322668
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 27, 2009
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Waco