Provider Demographics
NPI:1285740944
Name:MASTER, RUSHI BHUPENDRA (DDS)
Entity type:Individual
Prefix:DR
First Name:RUSHI
Middle Name:BHUPENDRA
Last Name:MASTER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 N MAIN ST STE 103
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76039-3366
Mailing Address - Country:US
Mailing Address - Phone:817-857-1046
Mailing Address - Fax:817-545-1050
Practice Address - Street 1:1060 N MAIN ST STE 103
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76039-3366
Practice Address - Country:US
Practice Address - Phone:817-857-1046
Practice Address - Fax:817-545-1050
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX210501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice