Bushnell Family Dentistry

NPI #1487919866 in Bushnell, Illinois

Provider Information

NPI Number: 1487919866
Entity Type: Organization
Organization Name: Bushnell Family Dentistry
Primary Specialty: Dentist
Enumeration Date: Jul 11, 2012
Last Updated: Jul 11, 2012

Practice Location

Address: 525 E WATER ST
City: Bushnell
State: Illinois
ZIP Code: 61422-1764
Phone: (309) 772-2124

Authorized Official

Name: DR. CYNTHIA PAIGE MCCORD, DDS
Title: OWNER
Phone: (309) 772-2124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X
Dentist	122300000X	Primary

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