Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MS. LISA BUSH DENTIST
NPI 1326022856
Dentist in Saint Louis, MO

Active since November 29, 2005
401 HOLLY HILLS AVE, SAINT LOUIS, MO 63111(314) 481-1615(314) 353-1310 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Lisa Bush Dentist NPPES

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

MS. LISA BUSH DENTIST (NPI 1326022856) is an individual dentist in Saint Louis, Missouri, licensed in Missouri (015217) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1326022856
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMS. LISA BUSHCredential: DENTIST
Location Address401 HOLLY HILLS AVESaint Louis, MO 63111-2410
Mailing Address401 Holly Hills AveSaint Louis, MO 63111-2410 · (314) 481-1615 · Fax (314) 353-1310
Fax(314) 353-1310
Sole ProprietorNo
Enumeration DateNovember 29, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1326022856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MO · 015217
Definition

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.

401 HOLLY HILLS AVE, Saint Louis, MO 63111

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
Dental Hygienist
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
Dental Hygienist
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
Social Worker (Clinical)
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
Family Medicine
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
Family Medicine
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
Family Medicine
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
Nurse Practitioner (Community Health)
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326022856, enumerated as an "individual" on November 29, 2005.

The provider is located at 401 HOLLY HILLS AVE SAINT LOUIS, MO 63111 and the phone number is (314) 481-1615.

Dentist with taxonomy code 122300000X.