Ebenezer Bush, A Professional Corporation
Oral and Maxillofacial Dental Clinic
609 S Long Beach Blvd, Compton
California, 90221-4026
310-638-1122 310-638-7565
Maps & DirectionsEbenezer Bush, A Professional Corporation is a Oral and Maxillofacial Dental Clinic in Compton, California. It is located at 609 S Long Beach Blvd, Compton, CA and its contact number is 310-638-1122. The authorized person for Ebenezer Bush, A Professional Corporation is Dr. Ebenezer Bush Jr.
who is Owner of the clinic and their contact number is 310-638-1122. Other organizations associated with this clinic are Korouri Sage Bina Professional Dental Inc, Bina, Korouri, Sage Dental Corporation, Ebenezer Bush, A Professional Corporation, The primary license number for Ebenezer Bush, A Professional Corporation is 12355 (Oral and Maxillofacial Surgery) in California.
Ebenezer Bush, A Professional Corporation Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Ebenezer Bush, A Professional Corporation Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Ebenezer Bush, A Professional Corporation |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 609 S Long Beach Blvd, Compton,
California, 90221-4026 |
| Phone: | 310-638-1122 |
| Fax: | 310-638-7565 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Ebenezer Bush Jr. |
| Position: | Owner |
| Contact Number: | 310-638-1122 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Ebenezer Bush, A Professional Corporation clinic are as mentioned below.
| NPI Number: | 1780839639 |
| NPI Enumeration Date: | 19 Nov, 2008 |
| NPI Last Update On: | 19 Nov, 2008 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Korouri Sage Bina Professional Dental Inc | General Practice Dentistry | 1083262612 |
| Bina, Korouri, Sage Dental Corporation | General Practice Dentistry | 1598449621 |
| Ebenezer Bush, A Professional Corporation | Oral and Maxillofacial Surgery | 1780839639 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ebenezer Bush, A Professional Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | 12355 | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| B1235501 | Medicaid | California | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ebenezer Bush, A Professional Corporation
609 S Long Beach Blvd,
Compton, California |
| Zip: | 90221-4026 |
| Phone Number: | 310-638-1122 |
| Fax Number: | 310-638-7565 |
Patients can reach Ebenezer Bush, A Professional Corporation at
609 S Long Beach Blvd, Compton, California or can
call to book an appointment on 310-638-1122.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.