MEDICARE: DR. BRIAN DAVID CUTRIGHT DDS

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
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	21091	OH

General Provider Information

NPI Number	:	1982675781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN DAVID CUTRIGHT DDS

Provider Business Mailing Address
First Line	:	550 E MAIN ST
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-3808
Country	:	US
Telephone Number	:	740-687-0551
Fax Number	:	740-687-0699

Provider Business Practice Location Address
First Line	:	550 E MAIN ST
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-3808
Country	:	US
Telephone Number	:	740-687-0551
Fax Number	:	740-687-0699

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	04/26/2013

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