P Praxis·MD
● Active Type 1 · Individual

DR. Clarence Edward Bush, D.M.D.

Dentist·Bainbridge, GA· NPI 1659399731 · Enumerated 2006 · 19 years on NPI
Bush is 1 of 6 dentist providers in Bainbridge and 1 of 4309 in Georgia.
NPI age
19 years
Enumerated 2006-07-17
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-04-26
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 4309 active dentist providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
144 Whigham Dairy Road
Bainbridge, GA 398180878
📞 2292469986fax 2292467492
Mailing address
144 Whigham Dairy Road, P.o. Box 878
Bainbridge, GA 398180878
📞 2292469986fax 2292467492

Specialties

  • Dentist Primary
    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.
    GA license #011667 taxonomy 1223G0001X

Identifiers

TypeValueNotes
05 (GA) 00824601A

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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