Individual
DR. RICHARD MATHEW CUSHSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1455 MAIN ST, TEWKSBURY, MA 01876-4718
(978) 851-7112
Mailing address
1455 MAIN ST, TEWKSBURY, MA 01876-4718
(978) 851-7112
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8912
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8912
LICENSE NUMBER
MA
Enumeration date
07/11/2006
Last updated
07/08/2007
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