Individual
DR. NEIL C RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
218 S MAIN ST, CYNTHIANA, KY 41031-1548
(859) 234-1473
(859) 234-1473
Mailing address
218 S MAIN ST, CYNTHIANA, KY 41031-1548
(859) 234-1473
(859) 234-1473
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4756
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60047560
—
KY
01
—
831135
UNITED CONCORDIA PROVIDER
KY
Enumeration date
09/12/2006
Last updated
07/17/2015
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