NPI 1477936771 · live from the CMS NPI Registry
Rico Bussey, D.M.D.
Dentist, Orthodontics and Dentofacial Orthopedics in Peachtree City, GA. National Provider Identifier 1477936771, active.
NPI record
| NPI | 1477936771 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 450 Commerce Dr # 431, Peachtree City, GA 30269 |
| Practice phone | 770-448-8882 |
| Enumerated | July 4, 2015 |
| Last updated | September 11, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Pediatric Dentistry | 1223P0221X | 1427 (FL) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DN015008 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.