Individual
DR. RONALD W. RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1293 N MAIN ST STE 108, MONTICELLO, KY 42633-1945
(606) 348-9358
(606) 348-9358
Mailing address
1293 N MAIN ST STE 108, MONTICELLO, KY 42633-1945
(606) 348-9358
(606) 348-9358
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4630
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60046307
—
KY
Enumeration date
07/24/2006
Last updated
07/09/2007
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