Individual
DR. RICHARD ALLEN RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3328 JENKINS RD, SUITE 400, CHATTANOOGA, TN 37421-1296
(423) 499-8007
(423) 499-4918
Mailing address
3328 JENKINS RD, SUITE 400, CHATTANOOGA, TN 37421-1296
(423) 499-8007
(423) 499-4918
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401007999
VA
122300000X
Dentist
Primary
DS7033
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000335322
EHR CERTIFICATION NUMBER
—
Enumeration date
01/27/2007
Last updated
11/08/2012
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