Provider Demographics
NPI:1972514313
Name:RUSH-ESMAIL, DONNA M (DMD)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:M
Last Name:RUSH-ESMAIL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 PLEASANT VALLEY AVE
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-3209
Mailing Address - Country:US
Mailing Address - Phone:856-234-4474
Mailing Address - Fax:609-261-0330
Practice Address - Street 1:517 PLEASANT VALLEY AVE
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3209
Practice Address - Country:US
Practice Address - Phone:856-234-4474
Practice Address - Fax:609-261-0330
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2008-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJBR58792601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice