Individual
DR. CARSON RUSHMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1747 16TH ST N, SAINT PETERSBURG, FL 33704-4023
(727) 822-3463
Mailing address
1037 55TH TER S, SAINT PETERSBURG, FL 33705-5028
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30264
FL
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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