DR. SAMUEL BUSH (NPI# 1285016527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285016527 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL BUSH |
| Credential | D.M.D. |
| Practice Address |
209 Woodside Dr Irondale AL 35210-2519 |
| Practice Telephone | 3345040142 |
| Mailing Telephone | 3345040142 |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2016-02-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6240 | AL | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
209 WOODSIDE DR |
| City | IRONDALE |
| State | AL |
| Zip Code | 35210-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639712581 | Jordan Leigh Jackson | Counselor | 1914 5th Ave S, Irondale, AL 35210 | 2019-10-23 |
| 1689147068 | Greater Birmingham Transportation Services | Taxi | 5804 Oporto Madrid Blvd S, Birmingham, AL 35210 | 2019-01-08 |
| 1053802009 | Konda Keebler | Nurse Practitioner | 7001 Crestwood Blvd/suite 804, Birmingham, AL 35210 | 2018-05-25 |
| 1841675865 | Kolbe Clinic LLC | Counselor | 1830 Montclair Rd Ste A, Irondale, AL 35210 | 2015-07-21 |
| 1609270826 | Patricia Abrahan Ocampo | Occupational Therapist | 5000 Grantswood Rd Ste 220, Irondale, AL 35210 | 2014-10-17 |
| 1154766905 | John Charles Hammond | Psychiatry & Neurology | 4984 Overton Rd, Birmingham, AL 35210 | 2013-05-07 |
| 1073807871 | Farah Yasmeen Ghori-javed | Internal Medicine | 4500 Montevallo Rd Ste B101, Irondale, AL 35210 | 2011-06-09 |
| 1134459084 | Hospice Advantage, LLC. | Hospice Care, Community Based | 2435 1st Avenue South, Irondale, AL 35210 | 2009-12-28 |
| 1902063555 | Robert Lumpkin | Dentist | 7970 Crestwood Blvd, Irondale, AL 35210 | 2008-05-21 |
| 1205920725 | Stacey Shipman | Speech-Language Pathologist | 4778 Overton Road, Birmingham, AL 35210 | 2006-10-02 |
| Find all providers in zip 35210 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124409776 | Carolyn Cochran | Dentist | 112 Elder St, Irondale, AL 35210-2502 | 2015-06-09 |
| 1306263355 | Stonecreek Acquisitions, LLC | Dentist | 4616 Montevallo Rd, Ste 200, Irondale, AL 35210-3104 | 2014-03-27 |
| 1669729398 | Seth Barrett Pepper | Dentist | 4500 Montevallo Rd Ste B105, Irondale, AL 35210-3128 | 2012-08-13 |
| 1902063555 | Robert Lumpkin | Dentist | 7970 Crestwood Blvd, Irondale, AL 35210 | 2008-05-21 |
| 1558448068 | Irondale Dental PC | Dentist | 1811 2nd Ave N, Irondale, AL 35210-1107 | 2006-11-01 |
| 1376991885 | Ruffner Mountain Restoration Dental, LLC | Dentist | 2806 Ruffner Rd, 202, Irondale, AL 35210-3926 | 2016-05-25 |
| 1780023325 | Joseph Leo Krekelberg | Dentist | 1675 Montclair Rd, Suite 212, Irondale, AL 35210-2407 | 2013-06-17 |
| 1811185895 | Matthew Clark Dunn | Dentist | 4500 Montevallo Rd, Irondale, AL 35210-3129 | 2007-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292845 | Matthew Thomas Rurka | Dentist | 4685 Highway 17 Ste C, Helena, AL 35080-3560 | 2020-10-13 |
| 1760089619 | Daniel Brumley | Dentist | 3400 Montgomery Hwy Ste 1, Dothan, AL 36303-1270 | 2020-10-05 |
| 1457963787 | Carrie Ann Cochran | Dentist | 1995 Pepperell Pkwy Ste 1, Opelika, AL 36801-5460 | 2020-08-18 |
| 1689286254 | Rajdeepsinh Narendrasinh Dolia | Dentist | 12205 County Line Rd Ste A, Madison, AL 35758-7720 | 2020-08-17 |
| 1497365498 | Krina Patel | Dentist | 101 6th Ave Nw, Jasper, AL 35504-7486 | 2020-08-04 |
| 1992329700 | Forrest Hunter Harris | Dentist | 1551 E Trinity Blvd, Montgomery, AL 36106-3802 | 2020-06-08 |
| 1609499169 | Tanya Tamiki Hollinshed-miles | Dentist | 1304 Beech St, Montgomery, AL 36113-1002 | 2020-05-19 |
| 1891327904 | Vital Smiles Alabama II PC | Dentist | 809 Beltline Rd Sw Ste A, Decatur, AL 35601-6337 | 2020-02-06 |
| 1689217309 | Stonecreek Dental of Alabama | Dentist | 1840 Montclaire Dr, Vestavia Hills, AL 35216-1408 | 2019-10-25 |
| 1013558766 | Southern Smiles | Dentist | 2801 John Hawkins Pkwy Ste 175, Hoover, AL 35244-4007 | 2019-10-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.