George E. Lush, D.M.D.
Individual provider Active NPI General Practice Dentistry · Thomaston, CT
NPI 1679734115 · NPPES record last updated Jun 18, 2008
Key facts
- NPI
- 1679734115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6118 (CT)
- Practice address
- 131 Main St
Suite 103
Thomaston, CT 06787-1747 - Phone
- (860) 283-9700
- NPI assigned
- Jun 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6118 | CT | Yes |
Addresses
Primary practice location
131 Main St
Suite 103
Thomaston, CT 06787-1747
Mailing address
PO Box 183
Thomaston, CT 06787-0183
Phone (860) 283-9700
Other names
- Dr. George E. Lush
Other providers in Thomaston, CT
- Melissa Lewis
- Lighthouse Medical Equipment, LLC
- Litchfield County Family Practice
- Shannon Little
- Judith Lombardo
- Lynn Wellcare Solutions LLC
- Shana A Marques
- Andrew James Matusiak
- MGR Wellness Counseling LLC
- Neil Miller
All providers in Thomaston, CT · General Practice Dentistry in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.