OrganizationActive
Bush Pediatric Dentistry
NPI 1578091815 · Pediatric Dentistry · Montgomery, AL
Provider details
- NPI number
- 1578091815
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Samuel Bush, Dentist/Owner(334) 504-0142
- License
- 6240 (AL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4740 Woodmere Blvd
Montgomery, AL 36106-3065
Phone: (334) 676-2144
Fax: (334) 676-2148
Street-level locationGet directions
Mailing address
3420 Lansdowne Dr
Montgomery, AL 36111-2115
Registry dates
- Enumerated
- 2017-05-31
- Last updated
- 2017-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.