Individual provider · Type 1 NPI

Taylor Bushman

General Practice Dentistry · Ottawa, IL

NPI number 1740113562 Active

Practice location

1300 Starfire Dr
Ottawa, IL 61350-1624

Mailing address

2738 E 2625th Rd
Marseilles, IL 61341-9484

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X019.037132 (IL)

General Practice Dentistry: 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.

4 other providers at this address

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About NPI 1740113562

Taylor Bushman's National Provider Identifier is 1740113562, issued on Jun 3, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Ottawa, IL. The record was last updated on Jun 3, 2026.