Rust, Dana

Rust, Dana is an sole proprietor health care provider with primary practice located at 400 Laboratory Rd Suite 101, Oak Ridge TN 37830-6810. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Rust, Dana can be contacted via phone (865) 483-7851.

Contact Information

Primary practice address
400 Laboratory Rd Suite 101 Oak Ridge TN 37830-6810
Phone: (865) 483-7851
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 9897 Tennessee

Profile Details

NPI number 1710392048
LBN Legal business name Rust, Dana
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2014
Last updated Aug 22nd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710392048 NPPES
Tennessee MEDICAID 1821269507

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