National Provider Identifier

Mary A Bush, DDS

Mary A Bush, DDS is listed in the NPPES registry with a primary specialty of Dentist in Buffalo, NY and a listed phone number of (716) 829-3561.

NPI 1548541279Buffalo, NYDentist

Profile Overview

NPI
1548541279
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
September 08, 2011
Last Updated
September 08, 2011

Practice Location

  • 3435 Main St
  • Squire Hall
  • Buffalo, NY 14214-3001

Phone: (716) 829-3561

Mailing Address

  • 4473 Harris Hill RD
  • Buffalo, NY 14221-6205

Specialties

  • Dentist (122300000X)
Full Record
NPI
1548541279
Entity Type
Individual
Last Name
Bush
First Name
Mary
Middle Name
A
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
4473 Harris Hill RD
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14221-6205
Mailing Country
US
Mailing Phone
(716) 829-3561
Mailing Fax
(716) 829-3006
Practice Street Address
3435 Main St
Practice Address Line 2
Squire Hall
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-3001
Practice Country
US
Practice Phone
(716) 829-3561
Practice Fax
(716) 829-3006
Enumeration Date
September 08, 2011
Last Updated
September 08, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X)