Eugene Donald Roush, D.D.S.

General Practice Dentistry · Radisson, WI

Individual Active NPI

NPI number 1568575066

Practice location

3661 N Highland Dr
Radisson, WI 54867-7067
Phone
(715) 945-2901
Fax
(715) 945-2805

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NPI record

NPI
1568575066
Entity type
Individual (Type 1)
Enumeration date
August 17, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2853-015 WI

Mailing address

PO Box 8
Radisson, WI 54867-0008
Phone
(715) 945-2901
Fax
(715) 945-2805

About Dr. Roush

Eugene Donald Roush, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3661 N Highland Dr, Radisson, WI 54867-7067. The NPI number 1568575066 was assigned on August 17, 2006 and the record was last updated on July 8, 2007.

Dr. Roush lists a license in the registry: #2853-015 (WI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Eugene Donald Roush, D.D.S.?

The NPI number is 1568575066.

What is the phone number of Dr. Roush?

The phone number listed for the practice location is (715) 945-2901.

Where is Dr. Roush located?

3661 N Highland Dr, Radisson, WI 54867-7067.

What is the taxonomy code for Dr. Roush?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.