Austin R. Rust Dmd Pc | |
211 S Main St Licking MO 65542-9325 | |
(573) 674-4674 | |
(573) 674-4674 |
Full Name | Austin R. Rust Dmd Pc |
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Speciality | Dentist - General Practice |
Location | 211 S Main St, Licking, Missouri |
Authorized Official Name and Position | Austin Rozier Rust (OWNER/PRESIDENT) |
Authorized Official Contact | 5736744674 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Austin R. Rust Dmd Pc Po Box 239 Licking MO 65542-0239 Ph: (573) 674-4674 | Austin R. Rust Dmd Pc 211 S Main St Licking MO 65542-9325 Ph: (573) 674-4674 |
NPI Number | 1871765594 |
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Provider Enumeration Date | 04/02/2008 |
Last Update Date | 06/23/2008 |
Identifier | Type | State | Issuer |
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1871765594 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |