1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Dentist
  6. NPI Profile

ROOSEVELT BUSH JR. DDS MPH
NPI 1447302096
Dentist in Baltimore, MD

Active since January 16, 2007
1111 PARK AVENUE, BALTIMORE, MD 21201(410) 383-1800(410) 772-5782 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Roosevelt Bush Jr. Dds Mph NPPES

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

ROOSEVELT BUSH JR. DDS MPH (NPI 1447302096) is an individual dentist in Baltimore, Maryland, licensed in Maryland (4090) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1447302096
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameROOSEVELT BUSH JR.Credential: DDS MPH
Location Address1111 PARK AVENUEBaltimore, MD 21201-5656
Mailing Address1111 Park Avenue Suite L9Baltimore, MD 21201-5656 · (410) 383-1800 · Fax (410) 772-5782
Phone(410) 383-1800
Fax(410) 772-5782
Sole ProprietorNo
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1447302096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MD · 4090
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.
1111 PARK AVENUE, Baltimore, MD 21201
Open in Google Maps ↗

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 Roosevelt Bush's NPI number?

The NPI number for Roosevelt Bush is 1447302096. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Roosevelt Bush located?

Roosevelt Bush practices at 1111 Park Avenue, Baltimore, MD 21201. The listed phone number is (410) 383-1800.

What is Roosevelt Bush's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Roosevelt Bush was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.