John Thomas Rusnock in Cambridge - Periodontics

John Thomas Rusnock - NPI 1245296037

John Thomas Rusnock is a Periodontics in Cambridge, Massachusetts. John Thomas Rusnock practices all healthcare services and medical treatments related to Periodontics. The NPI Number for John Thomas Rusnock is 1245296037. The last update date is 2007-07-08.

John Thomas Rusnock's current location address is 1105 Massachusetts Ave, Cambridge, Massachusetts. You can contact this provider via phone number 6175470618 and fax number 6175763187. The mailing address for John Thomas Rusnock is 1105 Massachusetts Ave, Cambridge, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name John Thomas Rusnock
Address 1105 Massachusetts Ave, Cambridge, Massachusetts
Phone Number 6175470618
Fax Number 6175763187
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1245296037
Provider Enumeration Date 2006-04-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1105 Massachusetts Ave
City Cambridge
State Massachusetts (MA)
Post Code 2138
Phone Number 6175470618
Fax Number 6175763187

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 17209
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about John Thomas Rusnock

What is the unique provider identifier assigned to John Thomas Rusnock?

The John Thomas Rusnock has been issued the NPI (National Provider Identifier) 1245296037 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where John Thomas Rusnock is geographically located?

The John Thomas Rusnock is physically situated at the following location: 1105 Massachusetts Ave, Cambridge, MA, 2138.

What is the John Thomas Rusnock's specialty and taxonomy code?

The John Thomas Rusnock's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.

On what date did the John Thomas Rusnock receive its 1245296037 assignment from the Centers for Medicare & Medicaid Services?

The John Thomas Rusnock was assigned its 1245296037 by the Centers for Medicare & Medicaid Services on 2006-04-21.

When was the information regarding John Thomas Rusnock, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to John Thomas Rusnock, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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