Active NPIIndividual providerSole proprietor

Dr. Brian E Rusak, DMD

Dentist, Periodontics in Fitchburg, Massachusetts

NPI Number1710024443
Practice location
33 Electric Ave, Suite 103, Fitchburg, MA 01420-7954
Fax
978-345-6161
Last updated
July 8, 2007

Brian Edward Rusak is a Dentist, Periodontics based in Fitchburg, MA. Brian Edward Rusak practices in Fitchburg, MA and has the professional credentials of DMD. The NPI Number for Brian Edward Rusak is 1710024443 and holds a License No. 19971 (MA). The current practice location address for Brian Edward Rusak is 33 Electric Ave, Suite 103, Fitchburg, MA 01420-7954 and can be reached out via phone at 978-345-0001 and via fax at 978-345-6161.

Provider Profile Details

NPI Number
1710024443
Provider Name
Brian Edward Rusak
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
33 Electric Ave, Suite 103, Fitchburg, MA 01420-7954
Phone Number
978-345-0001
Fax Number
978-345-6161
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Sole Proprietor
Yes
Provider Enumeration Date
January 31, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
33 Electric Ave
Suite 103
Fitchburg, MA 01420-7954
Zip
01420-7954
Phone Number
978-345-0001
Fax Number
978-345-6161
Fitchburg, MA 01420Get directions →

Provider Business Mailing Address Details

Address
33 Electric Ave
Suite 103
Fitchburg, MA 01420-7954
City
Fitchburg
State
MA
Zip
01420-7954
Phone Number
978-345-0001
Fax Number
978-345-6161

License Information

License Number
19971
License State
MA
Taxonomy
Dentist, Periodontics · 1223P0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Dentist, Periodontics providers near Fitchburg, MA

View all Dentist, Periodontics providers in Fitchburg →

Frequently Asked Questions

What is the NPI number of Dr. Brian E Rusak, DMD?

The NPI number of Dr. Brian E Rusak, DMD is 1710024443. It was assigned on January 31, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Brian E Rusak, DMD?

Dr. Brian E Rusak, DMD is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in MA under license number 19971.

Where does Dr. Brian E Rusak, DMD practice?

The practice location is 33 Electric Ave, Suite 103, Fitchburg, MA 01420-7954. The office can be reached at 978-345-0001 (phone) or 978-345-6161 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710024443 directly on the NPPES registry website.

Browse related providers