Individual
DR. GARY R KUSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1801 ROZZELLES FERRY RD, CHARLOTTE, NC 28208-4228
(704) 350-7300
(704) 350-7304
Mailing address
1801 ROZZELLES FERRY RD, CHARLOTTE, NC 28208-4228
(704) 350-7300
(704) 350-7304
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
NC 4858
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015N0
NC HEALTH CHOICE
NC
05
—
89902YU
—
NC
Enumeration date
07/19/2006
Last updated
07/09/2007
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