Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB KENNETH BUSHNELL, DDS
Active Sole ProprietorJACOB KENNETH BUSHNELL, DDS is a General Dentistry healthcare provider located in ASTORIA, Oregon. NPI 1811401441 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · ASTORIA, OR
Registration Details
- NPI Number
- 1811401441
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2017 (8.7287212745284 yrs)
- Last Updated
- Nov 17, 2017
- License
-
D10727 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1414 MARINE DRASTORIA, OR, 971033808Browse OR providers · Browse ZIP 97103
- Phone
- 5033250310
- Fax
- 5033251513
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in ASTORIA, OR
| Name | Credential | NPI |
|---|---|---|
| DR. PHILIP J. BALES | D.M.D. | 1164420188 |
| DR. JEFFREY MICHAEL LEINASSAR | DMD | 1184623852 |
| DR. DENNIS MICHAEL KLEMP | DMD | 1417956194 |
| DR. ROBERT J KARBY | D.M.D. | 1952376162 |
| DR. JENNIFER L. HARR | D.M.D. | 1386688059 |
| DR. MATTHEW ALLYN BUNCHMAN | DMD | 1811000417 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.