Individual provider · Type 1 NPI
Brian Edward Rusak, DMD
Periodontics · Fitchburg, MA
NPI number
1710024443
Active
Practice location
33 Electric Ave, Suite 103
Fitchburg, MA 01420-7954
Fax (978) 345-6161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 19971 (MA) |
Periodontics: 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 structures and tissues.
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About NPI 1710024443
Brian Edward Rusak, DMD's National Provider Identifier is 1710024443, issued on Jan 31, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Fitchburg, MA. The record was last updated on Jul 8, 2007.