Prush, Kevin Donald

Prush, Kevin Donald is an individual health care provider with primary practice located at 30231 Jefferson Ave , Saint Clair Shores MI 48082-1787. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Prush, Kevin Donald can be contacted via phone (586) 775-2400.

Contact Information

Primary practice address
30231 Jefferson Ave Saint Clair Shores MI 48082-1787
Phone: (586) 775-2400
Fax: (586) 775-2406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 015251 Michigan

Profile Details

NPI number 1982668372
LBN Legal business name Prush, Kevin Donald
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Aug 25th, 2022 - about 2 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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