Individual provider · Type 1 NPI

Kelly Rustico

Dentist · Columbus, OH

NPI number 1801282769 Active

Practice location

305 W 12th Ave
Columbus, OH 43210-1267

Call (614) 292-0880 Map

Mailing address

1189 Leicester Pl
Columbus, OH 43235-2181

Other practice locations

  • 1600 Wilson Blvd Ste 620, Arlington, VA 22209-2596 · (703) 524-0288
  • 4725 Market St, San Diego, CA 92102-4715 · (619) 515-2420
  • 305 W 12th Ave, Columbus, OH 43210-1267 · (614) 292-0880

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XDDS102193 (CA)
General Practice Dentistry 1223G0001X0401414839 (VA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Dentist Primary 122300000X30.025097 (OH)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1801282769

Kelly Rustico's National Provider Identifier is 1801282769, issued on Apr 7, 2015. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Columbus, OH. The record was last updated on Oct 29, 2023.