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NPI Code Detail

MEDICARE: AMY E RUST DMD

MEDICARE:   AMY E RUST  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry04311NH

General Provider Information

NPI Number : 1386174464
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY E RUST DMD
Provider Business Mailing Address
First Line : 341 RATTLESNAKE HILL RD
Second Line :
City : AUBURN
State : NH
Zip : 03032-3733
Country : US
Telephone Number : 603-818-1857
Fax Number :
Provider Business Practice Location Address
First Line : 345 VILLAGE ST
Second Line :
City : PENACOOK
State : NH
Zip : 03303-4516
Country : US
Telephone Number : 603-753-6371
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2017
Last Update Date : 11/10/2019

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Directions to “ AMY E RUST DMD” Practice Location

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