| Aaron Bushong Dds | |
|
1052 Bel Aire Ct Green Bay WI 54304-5015 | |
| (920) 499-2121 | |
| Not Available |
| Full Name | Aaron Bushong Dds |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 1052 Bel Aire Ct, Green Bay, Wisconsin |
| Authorized Official Name and Position | Aaron Bushong (OWNER) |
| Authorized Official Contact | 7155733546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aaron Bushong Dds 301 N 17th Ave Ste 200 Wausau WI 54401-4225 Ph: (715) 573-3546 | Aaron Bushong Dds 1052 Bel Aire Ct Green Bay WI 54304-5015 Ph: (920) 499-2121 |
| NPI Number | 1427762533 |
|---|---|
| Provider Enumeration Date | 01/12/2023 |
| Last Update Date | 04/23/2024 |
| Medicare PECOS PAC ID | 4981060142 |
|---|---|
| Medicare Enrollment ID | O20230515001936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427762533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
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