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Search › Michigan › General Practice Dentistry

Kevin Prush, DDS

NPI 1982668372 · on the registry since 2006

Practice

Address
30231 Jefferson Ave
Saint Clair Shores, MI 48082
Phone
(586) 775-2400
Fax
(586) 775-2406
Organisation at this address
Diversified Dental, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-08-25

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 Michigan