| Rush Dental Clinic | |
|
46 Tyson Rd Ashland AL 36251 | |
| (256) 354-2118 | |
| Not Available |
| Full Name | Rush Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 46 Tyson Rd, Ashland, Alabama |
| Authorized Official Name and Position | Charles D Rush (OWNER) |
| Authorized Official Contact | 2563542118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rush Dental Clinic Po Box 248 46 Tyson Rd Ashland AL 36251 Ph: (256) 354-2118 | Rush Dental Clinic 46 Tyson Rd Ashland AL 36251 Ph: (256) 354-2118 |
| NPI Number | 1073065645 |
|---|---|
| Provider Enumeration Date | 10/31/2016 |
| Last Update Date | 10/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073065645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3891 (Alabama) | Primary |