Provider Demographics
NPI:1811391162
Name:BHUSHAN, SARITA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SARITA
Middle Name:
Last Name:BHUSHAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:832 N ROLLING RD
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4136
Mailing Address - Country:US
Mailing Address - Phone:410-744-7777
Mailing Address - Fax:410-744-7795
Practice Address - Street 1:4115 WILKENS AVE STE 101
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-4733
Practice Address - Country:US
Practice Address - Phone:410-737-9666
Practice Address - Fax:410-565-6084
Is Sole Proprietor?:No
Enumeration Date:2014-10-15
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401414545122300000X
MD15942122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist