Kushner, Gary R

Kushner, Gary R is an individual health care provider with primary practice located at 1801 Rozzelles Ferry Rd , Charlotte NC 28208-4228. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Kushner, Gary R can be contacted via phone (704) 350-7300.

Contact Information

Primary practice address
1801 Rozzelles Ferry Rd Charlotte NC 28208-4228
Phone: (704) 350-7300
Fax: (704) 350-7304
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X NC 4858 North Carolina

Profile Details

NPI number 1144240854
LBN Legal business name Kushner, Gary R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 9th, 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 1144240854 NPPES
North Carolina Other 015N0 NC HEALTH CHOICE
North Carolina MEDICAID 89902YU NC HEALTH CHOICE

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