Brent Cushing Bach in Massillon - General Practice

Brent Cushing Bach - NPI 1568461200

Brent Cushing Bach is a General Practice in Massillon, Ohio. Brent Cushing Bach practices all healthcare services and medical treatments related to General Practice. The NPI Number for Brent Cushing Bach is 1568461200. The last update date is 2007-07-09.

Brent Cushing Bach's current location address is 7265 Portage St Nw, Massillon, Ohio. You can contact this provider via phone number 3304989730 and fax number 3304989753. The mailing address for Brent Cushing Bach is 7265 Portage St Nw, Massillon, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Brent Cushing Bach
Address 7265 Portage St Nw, Massillon, Ohio
Phone Number 3304989730
Fax Number 3304989753
Sole Proprietor X
Credentials DDS

NPI Number Detail

NPI Number 1568461200
Provider Enumeration Date 2005-07-15
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 7265 Portage St Nw
City Massillon
State Ohio (OH)
Post Code 446467826
Phone Number 3304989730
Fax Number 3304989753

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 21169
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
30446553028 OH --
2248606 OH --

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FAQs about Brent Cushing Bach

What is the unique identifier code issued to Brent Cushing Bach by the Centers for Medicare & Medicaid Services (CMS)?

The Brent Cushing Bach has been assigned the NPI (National Provider Identifier) 1568461200. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Brent Cushing Bach located?

The Brent Cushing Bach is located at 7265 Portage St Nw, Massillon, OH 446467826.

What is the area of specialization for Brent Cushing Bach, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Brent Cushing Bach is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the Brent Cushing Bach receive the assignment of its 1568461200 from the Centers for Medicare & Medicaid Services?

The Brent Cushing Bach was issued its 1568461200 by the Centers for Medicare & Medicaid Services on 2005-07-15.

As of what date were the details pertaining to Brent Cushing Bach last refreshed?

The information related to the Brent Cushing Bach, including its address, specialty, and other relevant details, was last updated on 2007-07-09.

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