NPI 1447094420 · live from the CMS NPI Registry
Ahmedi Bushra, DMD
Dentist, General Practice in Brookhaven, PA. National Provider Identifier 1447094420, active.
NPI record
| NPI | 1447094420 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 8 W Brookhaven Rd, Brookhaven, PA 19015 |
| Practice phone | 610-872-7200 |
| Mailing address | 755 Montclair Dr Apt 6, Claymont, DE 19703 |
| Enumerated | June 24, 2024 |
| Last updated | June 24, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | DS044690 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.