Rust, Travis
Rust, Travis is an individual health care provider with primary practice located at 3815 Wadsworth Blvd , Wheat Ridge CO 80033-4612. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Rust, Travis can be contacted via phone (720) 536-0400.Contact Information
Primary practice address
3815 Wadsworth Blvd
Wheat Ridge CO 80033-4612
Phone: (720) 536-0400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 9711 | Colorado |
Dental Providers / Dentist | 122300000X | D008291 | Arizona |
Profile Details
NPI number | 1114172699 |
---|---|
LBN Legal business name | Rust, Travis |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 25th, 2008 |
Last updated | Oct 9th, 2013 - about 12 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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