EBENEZER BUSH, DDS
NPI 1780839639
Dentist - Oral and Maxillofacial Surgery in Compton, CA

Q: What is Ebenezer Bush, A Professional Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since November 19, 2008

609 S LONG BEACH BLVD, COMPTON, CA 90221(310) 638-1122(310) 638-7565 Get Directions Write a Review

NPPES record last updated: November 19, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ebenezer Bush, Dds NPPES

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

EBENEZER BUSH, DDS (NPI 1780839639) is a healthcare organization registered as an oral and maxillofacial surgery in Compton, California and active in the NPI registry since November 2008. The organization lists Ebenezer Bush, Owner, as its authorized official.

NPPES Registry Identity

NPI1780839639

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameEBENEZER BUSH, A PROFESSIONAL CORPORATION

Location Address609 S LONG BEACH BLVDCompton, CA 90221-4026

Mailing Address609 S Long Beach BlvdCompton, CA 90221-4026 · (310) 638-1122 · Fax (310) 638-7565

Phone(310) 638-1122

Fax(310) 638-7565

Organization SubpartNo

Authorized OfficialEbenezer BushOwner · (310) 638-1122

Enumeration DateNovember 19, 2008

✔ NPI 1780839639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in CA · 12355

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

609 S LONG BEACH BLVD, Compton, CA 90221

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Other Names 1

Other NameEbenezer Bush, Dds

Other Identifiers 1

MedicaidB1235501CA

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

Other Providers at the Same Location NPPES 2

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

KOROURI SAGE BINA PROFESSIONAL DENTAL INC

Dentist (General Practice)

609 S LONG BEACH BLVD
COMPTON, CA 90221

Los Angeles County (310) 876-2534

BINA, KOROURI, SAGE DENTAL CORPORATION

Dentist (General Practice)

609 S LONG BEACH BLVD
COMPTON, CA 90221

Los Angeles County (424) 232-0508

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 Ebenezer Bush, A Professional Corporation's NPI number?

The NPI number for Ebenezer Bush, A Professional Corporation is 1780839639. It was assigned to this organization in the NPPES registry on November 19, 2008. The provider is also known as Ebenezer Bush, Dds.

Where is Ebenezer Bush, A Professional Corporation located?

Ebenezer Bush, A Professional Corporation is located at 609 S Long Beach Blvd, Compton, CA 90221. The listed phone number is (310) 638-1122.

What is Ebenezer Bush, A Professional Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Ebenezer Bush, A Professional Corporation was last updated on November 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.