Cushsner, Richard Mathew

Cushsner, Richard Mathew is an sole proprietor health care provider with primary practice located at 1455 Main St , Tewksbury MA 01876-4718. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Cushsner, Richard Mathew can be contacted via phone (978) 851-7112.

Contact Information

Primary practice address
1455 Main St Tewksbury MA 01876-4718
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8912 Massachusetts

Profile Details

NPI number 1881629533
LBN Legal business name Cushsner, Richard Mathew
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881629533 NPPES
Massachusetts Other 8912 LICENSE NUMBER

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