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NPI Code Detail

MEDICARE: DR. DAVID MICHAEL KUSHNER DDS

MEDICARE: DR. DAVID MICHAEL KUSHNER 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
11223G0001XGeneral Practice Dentistry2901017225MI
21223G0001XGeneral Practice DentistryD5599AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265535280
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID MICHAEL KUSHNER DDS
Provider Business Mailing Address
First Line : 2425 OWEN ROAD
Second Line : SUITE A
City : FENTON
State : MI
Zip : 48430
Country : US
Telephone Number : 810-629-7682
Fax Number : 810-629-0158
Provider Business Practice Location Address
First Line : 2934 W INA RD
Second Line :
City : TUCSON
State : AZ
Zip : 85741-2110
Country : US
Telephone Number : 520-742-9500
Fax Number : 520-877-9800
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2006
Last Update Date : 06/03/2015

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Directions to “ DR. DAVID MICHAEL KUSHNER DDS” Practice Location

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