BUSH DR. P.A. NPI 1114136256

NPI Information

  • NPI: 1114136256
  • Provider Name: BUSH, DR. P.A.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: PERFECT SMILE DENTAL STUDIO
  • Address: 24632 STATE ROAD 54
    LUTZ, FL
    ZIP 33559
  • Phone: (813) 948-6335

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NPI Details

BUSH, DR. P.A. is a general practice dentist in Lutz, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BUSH, DR. P.A. NPI is 1114136256. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Perfect Smile Dental Studio.

The provider's business location address is:

24632 STATE ROAD 54
LUTZ, FL
ZIP 33559-307
Phone: (813) 948-6335
Fax: (813) 948-6394

The provider's authorized official is Ana Maria Bush .
The authorized official title is Owner and has the following contact phone number (813) 948-6335.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDN14833FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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