1. Home
  2. Directory
  3. Alabama
  4. Montgomery
  5. Dentist
  6. NPI Profile

BUSH PEDIATRIC DENTISTRY
NPI 1578091815
Dentist - Pediatric Dentistry in Montgomery, AL

Active since May 31, 2017
4740 WOODMERE BLVD, MONTGOMERY, AL 36106(334) 676-2144(334) 676-2148 Get Directions Write a Review

NPPES record last updated: May 31, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bush Pediatric Dentistry NPPES

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

BUSH PEDIATRIC DENTISTRY (NPI 1578091815) is a healthcare organization registered as a pediatric dentistry in Montgomery, Alabama and active in the NPI registry since May 2017. The organization lists Samuel Wayne Bush, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1578091815
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameBUSH PEDIATRIC DENTISTRY
Location Address4740 WOODMERE BLVDMontgomery, AL 36106-3065
Mailing Address3420 Lansdowne DrMontgomery, AL 36111-2115 · (334) 504-0142
Phone(334) 676-2144
Fax(334) 676-2148
Organization SubpartNo
Authorized OfficialSamuel Wayne BushDentist/owner · (334) 504-0142
Enumeration DateMay 31, 2017
✔ NPI 1578091815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in AL · 6240
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.
4740 WOODMERE BLVD, Montgomery, AL 36106
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 6

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

DIAMOND PITCHFORD
Behavior Technician
4740 WOODMERE BLVD
MONTGOMERY, AL 36106
Montgomery County (334) 746-0756
DR. SAMUEL BUSH D.M.D.
Dentist
4740 WOODMERE BLVD
MONTGOMERY, AL 36106
Montgomery County (334) 676-2144
JADA HOUSER
Behavior Technician
4740 WOODMERE BLVD
MONTGOMERY, AL 36106
Montgomery County (334) 746-0756
KARLENDA RUDOLPH
Behavior Technician
4740 WOODMERE BLVD
MONTGOMERY, AL 36106
Montgomery County (334) 746-0756
KEANDREA LADELL THOMAS
Behavior Technician
4740 WOODMERE BLVD
MONTGOMERY, AL 36106
Montgomery County (334) 746-0756
AMBER RAE CHAPMAN
Behavior Technician
4740 WOODMERE BLVD
MONTGOMERY, AL 36106
Montgomery County (334) 746-0756

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 Bush Pediatric Dentistry's NPI number?

The NPI number for Bush Pediatric Dentistry is 1578091815. It was assigned to this organization in the NPPES registry on May 31, 2017.

Where is Bush Pediatric Dentistry located?

Bush Pediatric Dentistry is located at 4740 Woodmere Blvd, Montgomery, AL 36106. The listed phone number is (334) 676-2144.

What is Bush Pediatric Dentistry's specialty?

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

What insurance does Bush Pediatric Dentistry accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Bush Pediatric Dentistry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bush Pediatric Dentistry was last updated on May 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.