Dustin J. Prusik, DDS, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

9726 Issued in NC

Legal business name

DUSTIN J. PRUSIK, DDS, PA

Practice address

1801 Olive Chapel Rd
Suite 105
Apex, NC 27502

Phone

(919) 345-1501

NPI assigned

May 6, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dustin Jacob Prusik, D.D.S.NPI 1558774885

Title

Owner/President

Phone

(919) 345-1501

Specialties & licenses 1

Addresses

Other names 1

• Olive Chapel Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dustin Jacob Prusik, DDS

  • General Practice Dentistry
  • Cary, NC
  • NPI 1558774885
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462492800000",
    "number": "1548616733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 DOVE COTTAGE LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275190505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 OLIVE CHAPEL RD",
            "address_2": "SUITE 105",
            "city": "APEX",
            "state": "NC",
            "postal_code": "27502",
            "telephone_number": "919-345-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUSTIN J. PRUSIK, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-06",
        "status": "A",
        "authorized_official_last_name": "PRUSIK",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "919-345-1501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "9726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olive Chapel Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Duckett
• Duke Health Integrated Practice, Inc.
• Duke University Affliated Physicians, Inc
• Lindsey Dulkoski, DPT
• Catherine A Duncan, DO
• Michael Tyler Dutcher
• Dutchess II
• Kelli Duvall
• Dynamic Therapy, Inc.
• Caroline Cook Earl, NP

• Dental Clinic/Center in Apex, NC
• Providers in Apex, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.