Martin K Bush, DDS
Individual provider Active NPI General Practice Dentistry · Adams, MA
NPI 1124047154 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124047154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 16524 (MA)
- Practice address
- 9 Park Street
Adams, MA 01220 - Phone
- (413) 743-7220
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16524 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin K Bush DDS Family Dentistry PC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 16524 | MA | Yes |
Addresses
Primary practice location
9 Park Street
Adams, MA 01220
Mailing address
80 Alger Street
Adams, MA 01220
Phone (413) 743-2524
Other providers in Adams, MA
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- Amber Chalmers
- CHI Cheung
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All providers in Adams, MA · General Practice Dentistry in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.