Ahmedi Bushra, DMD
Individual provider Active NPI General Practice Dentistry · Brookhaven, PA
NPI 1447094420 · NPPES record last updated Jun 24, 2024
Key facts
- NPI
- 1447094420
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS044690 (PA)
- Practice address
- 8 W Brookhaven Rd
Brookhaven, PA 19015-2337 - Phone
- (610) 872-7200
- NPI assigned
- Jun 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| DS044690 | PA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | DS044690 | PA | Yes |
Addresses
Primary practice location
8 W Brookhaven Rd
Brookhaven, PA 19015-2337
Mailing address
755 Montclair Dr Apt 6
Claymont, DE 19703-3638
Phone (773) 704-7368
Other providers in Brookhaven, PA
- Marjorie G. Bowen
- Brookhaven Family Dentistry
- Brookhaven Family Eye Care Center
- Brookhaven Fire Company
- Brown Reentry Consulting LLC
- Craig A Cassey
- Casseys Optical, Inc
- John C Cavallaro
- Communities of Don Guanella and Divine Providence
- Compassionate Home Care of Delaware County LLC
All providers in Brookhaven, PA · General Practice Dentistry in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2024. 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.