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Contact Information

BRENT RUSNAK RIVER RUN DENTAL GREENGATE
3700 HAYDENPARK LANE
MEDICAL OFFICE J
HENRICO, VA23233
 Phone: 804-262-1060
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for BRENT RUSNAK RIVER RUN DENTAL GREENGATE

NPI Number 1659840924
LBN Legal business name BRENT RUSNAK RIVER RUN DENTAL GREENGATE
Authorized official BRENT RUSNAK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/16/2018
Last updated 11/16/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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