| Austin R. Rust Dmd Pc | |
|
211 S Main St Licking MO 65542-9325 | |
| (573) 674-4674 | |
| (573) 674-4674 |
| Full Name | Austin R. Rust Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 211 S Main St, Licking, Missouri |
| Authorized Official Name and Position | Austin Rozier Rust (OWNER/PRESIDENT) |
| Authorized Official Contact | 5736744674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin R. Rust Dmd Pc Po Box 239 Licking MO 65542-0239 Ph: (573) 674-4674 | Austin R. Rust Dmd Pc 211 S Main St Licking MO 65542-9325 Ph: (573) 674-4674 |
| NPI Number | 1871765594 |
|---|---|
| Provider Enumeration Date | 04/02/2008 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871765594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |