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Deactivated NPI 1033231782 Deactivated / Inactive NPI Male Practitioner

Dr. John Edwin Bush , DDS

Dentist - General Practice • Smyrna, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Bush has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 04, 2007
NPI Deactivation Date July 21, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. John Bush, DDS was a registered Dentist - General Practice practicing in Smyrna, GA. Throughout an active medical career spanning 14 years, Dr. Bush provided care at the practice location at 894 PAT MELL ROAD until profile deactivation on 2021-07-21.

Practice Location & Contact Primary Location

Practice Address

894 Pat Mell Road

Smyrna, GA 30080

Telephone 7704357773
Fax 7704365228

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Smyrna, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
31 Specialists

Practicing in Smyrna, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA 6300

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 21, 2021

Record deactivated on July 21, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 894 PAT MELL ROAD, SMYRNA, GA 30080 (Tel: 7704357773)

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Updated Business Mailing Address July 08, 2007

Registered at 894 PAT MELL ROAD, SMYRNA, GA 30080 (Tel: 7704357773)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN BUSH, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #6300 in GA)

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Initial NPI Registration & Enumeration April 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033231782
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2007
Last Update: July 08, 2007
Deactivation Date: July 21, 2021

Mailing Address

894 Pat Mell Road

Smyrna, GA 30080

Phone: 7704357773

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.