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BUSHONG DENTAL, PLLC
NPI 1750977914
Clinic/Center - Dental in San Antonio, TX

Active since December 11, 2020
4 DOMINION DR # 250, SAN ANTONIO, TX 78257(210) 687-1150 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bushong Dental, Pllc NPPES

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

BUSHONG DENTAL, PLLC (NPI 1750977914), doing business as Dominion Dental, is a healthcare organization registered as a dental in San Antonio, Texas and active in the NPI registry since December 2020. The organization lists Perry J Bushong, President, as its authorized official.

NPPES Registry Identity

NPI1750977914
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBUSHONG DENTAL, PLLC
Location Address4 DOMINION DR # 250San Antonio, TX 78257-1390
Mailing Address14806 Circle J TrlHelotes, TX 78023-3829 · (817) 851-3291
Phone(210) 687-1150
Organization SubpartNo
Authorized OfficialPerry J BushongPresident · (817) 851-3291
Enumeration DateDecember 11, 2020
NPPES CertifiedDecember 11, 2020
✔ NPI 1750977914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4 DOMINION DR # 250, San Antonio, TX 78257
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Other Names 2

Doing Business AsDominion Dental
Doing Business AsDominion Dental Spa

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 Bushong Dental, PLLC's NPI number?

The NPI number for Bushong Dental, PLLC is 1750977914. It was assigned to this organization in the NPPES registry on December 11, 2020. The provider is doing business as Dominion Dental and Dominion Dental Spa.

Where is Bushong Dental, PLLC located?

Bushong Dental, PLLC is located at 4 Dominion Dr # 250, San Antonio, TX 78257. The listed phone number is (210) 687-1150.

What is Bushong Dental, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Bushong Dental, PLLC was last updated on December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.