Individual
RUSHELLE ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4155 N MOUNT JULIET RD, MT JULIET, TN 37122-3049
(516) 395-4740
Mailing address
4155 N MOUNT JULIET RD, MT JULIET, TN 37122-3049
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0598331
NY
1223G0001X
General Practice Dentistry
Primary
11195
TN
Other
Enumeration date
02/07/2017
Last updated
04/14/2022
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