Dr. John David Roush, DDS
Dentist, General Practice in Holland, MI. Individual provider (NPI-1).
NPI number1790798148
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1790798148
- Entity type
- Individual (NPI-1)
- Name
- Dr. John David Roush
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 9675 | MI | Yes |
Practice location
540 Michigan AvenueHolland, MI 49423
Phone 616-396-7490 · Fax 616-396-3766
Mailing address
540 Michigan AvenueHolland, MI 49423
Phone 616-396-7490 · Fax 616-396-3766
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All 57 General Practice Dentistry providers in Holland · All 2,693 providers in Holland
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