# HAGERSTOWN FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306170345
- **Authorized official:** JACK A RUSCH DDS (DENTIST)
- **Authorized official phone:** (765) 489-5942

## Contact information

- **Practice address:** 49 W WALNUT ST, HAGERSTOWN, IN 47346-1543
- **Practice address phone:** (765) 489-5942
- **Practice address fax:** (765) 489-3052
- **Mailing address:** 49 W WALNUT ST, HAGERSTOWN, IN 47346-1543
- **Mailing address phone:** (765) 489-5942
- **Mailing address fax:** (765) 489-3052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 09/23/2009
- **Last updated:** 09/23/2009