Individual provider · Type 1 NPI
Alec Charles Gush, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Auburn, NY
Practice location
2 James St
Auburn, NY 13021-3457
Fax (315) 252-6148
Mailing address
4760 Howlett Hill Rd
Marcellus, NY 13108-9701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 050543 (NY) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
About NPI 1720206709
Alec Charles Gush, DDS's National Provider Identifier is 1720206709, issued on Apr 23, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Auburn, NY. The record was last updated on Jul 8, 2007.