Rush Dental Clinic
Clinic/Center, Dental in Ashland, AL. Organization (NPI-2).
NPI number1073065645
StatusActive
Last updated in NPPESOct 31, 2016
Details
- NPI
- 1073065645
- Entity type
- Organization (NPI-2)
- Legal business name
- Rush Dental Clinic
- Organization subpart
- No
- Enumeration date
- Oct 31, 2016
- Last updated
- Oct 31, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 3891 | AL | Yes |
Practice location
46 Tyson RdAshland, AL 36251
Phone 256-354-2118
Mailing address
Po Box 24846 Tyson Rd
Ashland, AL 36251
Phone 256-354-2118
Authorized official
Charles D Rush
Owner
2563542118
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