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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NICHOLAS BUSHEY DMD PLLC
NPI 1104720416
Dentist - Pediatric Dentistry in Mount Pleasant, TX

Active since October 08, 2026
401 W 19TH ST, MOUNT PLEASANT, TX 75455(903) 577-9900(903) 577-9901 Get Directions Write a Review

NPPES record added: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Nicholas Bushey Dmd Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS BUSHEY DMD PLLC (NPI 1104720416), doing business as East Texas Children's Dentistry, is a healthcare organization registered as a pediatric dentistry in Mount Pleasant, Texas and active in the NPI registry since October 2026. The organization lists Nicholas Todd Bushey, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1104720416
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameNICHOLAS BUSHEY DMD PLLC
Location Address401 W 19TH STMount Pleasant, TX 75455-2331
Mailing Address401 W 19th StMount Pleasant, TX 75455-2331 · (903) 577-9900 · Fax (903) 577-9901
Phone(903) 577-9900
Fax(903) 577-9901
Organization SubpartNo
Authorized OfficialNicholas Todd BusheyPediatric Dentist · (903) 577-9900
Enumeration DateOctober 8, 2026
NPPES CertifiedOctober 8, 2026
✔ NPI 1104720416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
401 W 19TH ST, Mount Pleasant, TX 75455
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Other Names 1

Doing Business AsEast Texas Children's Dentistry

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Bushey Dmd PLLC's NPI number?

The NPI number for Nicholas Bushey Dmd PLLC is 1104720416. It was assigned to this organization in the NPPES registry on October 8, 2026. The provider is doing business as East Texas Children's Dentistry.

Where is Nicholas Bushey Dmd PLLC located?

Nicholas Bushey Dmd PLLC is located at 401 W 19th St, Mount Pleasant, TX 75455. The listed phone number is (903) 577-9900.

What is Nicholas Bushey Dmd PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Nicholas Bushey Dmd PLLC was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.