Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH BRIAN RUSANOWSKI, DDS
ActiveMR. KENNETH BRIAN RUSANOWSKI, DDS is a Periodontology healthcare provider located in SANTA FE, New Mexico. NPI 1174675185 is currently active in the NPPES registry. Verify at CMS.
Periodontology · SANTA FE, NM
Registration Details
- NPI Number
- 1174675185
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 18, 2007 (19.553877026511 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DD1585 (NM)
Practice Information
- Address
-
2 CALLE MEDICOSTE 2SANTA FE, NM, 87505Browse NM providers · Browse ZIP 87505
- Phone
- 5059882611
- Fax
- 5058200397
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in SANTA FE, NM
| Name | Credential | NPI |
|---|---|---|
| BILL DEAN PARKER | D.D.S. | 1205026796 |
| DR. JOHN JEFFREY MELTON | DDS | 1326206814 |
| DR. JORDAN GHIASSI | DMD | 1053795112 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.