Search › Ohio › 122300000X
Kelly Rustico
NPI 1801282769 · on the registry since 2015
Practice
- Address
- 305 W 12th Ave
Columbus, OH 43210 - Phone
- (614) 292-0880
- Organisation at this address
- College Of Dentistry
The Ohio State University
The Ohio State University
Dental Clinics College Of Dentistry
Ohio State Dental Faculty Practice IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 275
Additional practice sites
- 1600 Wilson Blvd Ste 620, Arlington, VA
- 4725 Market St, San Diego, CA
- 305 W 12th Ave, Columbus, OH
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 1223G0001X
1223G0001X
390200000X - Licence states on file
- CA, VA, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio