Individual
ADAM FUSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
60 CROSSVILLE MEDICAL DR, SUITE 115, CROSSVILLE, TN 38555-2500
(931) 484-1759
Mailing address
60 CROSSVILLE MEDICAL DR, SUITE 115, CROSSVILLE, TN 38555-2500
(931) 484-1759
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS8177
TN
Other
Enumeration date
07/23/2006
Last updated
07/08/2007
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