Individual provider · Type 1 NPI

Trevor Cordel Bushman, DDS

Dentist · Minneapolis, MN

NPI number 1083481337 Active

Practice location

515 Delaware St SE
Minneapolis, MN 55455-0357

Call (612) 625-2495 Map

Mailing address

7309 E Ramsey Pkwy NW
Ramsey, MN 55303-4378

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XR931 (MN)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1083481337

Trevor Cordel Bushman, DDS's National Provider Identifier is 1083481337, issued on Dec 6, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 8, 2026.