institution
Lisa Gushin D.d.s. P.a.
Dental Clinic/Center in Fayetteville, North Carolina
NPI 1558548875

Lisa Gushin D.d.s. P.a. is a Dental Clinic/Center based in Fayetteville, NC and is specialized in Dental. Lisa Gushin D.d.s. P.a. practices in Fayetteville, NC. The NPI Number for Lisa Gushin D.d.s. P.a. is 1558548875 and holds a License No. 6908 (North Carolina).

The current practice location address for Lisa Gushin D.d.s. P.a. is 203 Owen Dr, Fayetteville, NC and can be reached out via phone at 910-484-1771 and via fax at 910-484-8876. You can also correspond with Lisa Gushin D.d.s. P.a. through the mailing address at 203 OWEN DR, FAYETTEVILLE, NC - 28304-3409 (mailing address contact number: 910-484-1771).

Location: 203 Owen Dr, Fayetteville, NC, 28304-3409
institution
Provider Profile Details
NPI Number
1558548875
Provider Name
Lisa Gushin D.d.s. P.a.
Credential
Provider Entity Type
Organization
Address
203 Owen Dr, Fayetteville, NC, 28304-3409
Phone Number
910-484-1771
Fax Number
910-484-8876
Provider Enumeration Date
01/29/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
899010F 05 NC
9010F 01 NC BCBS
586286 01 NC UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
203 Owen Dr
City
State
Zip
28304-3409
Phone Number
910-484-1771
Fax Number
910-484-8876
person
Provider Business Mailing Address Details
Address
203 Owen Dr
City
State
Zip
28304-3409
Phone Number
910-484-1771
Fax Number
910-484-8876
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
6908 (North Carolina)
Definition
Definition to come...
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