Provider Demographics
NPI:1881324705
Name:BRUSH RINSE FLOSS SH PLLC
Entity type:Organization
Organization Name:BRUSH RINSE FLOSS SH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DRUMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-283-7165
Mailing Address - Street 1:51863 SCHOENHERR RD STE 104
Mailing Address - Street 2:
Mailing Address - City:SHELBY TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-2758
Mailing Address - Country:US
Mailing Address - Phone:586-731-6300
Mailing Address - Fax:
Practice Address - Street 1:51863 SCHOENHERR RD STE 104
Practice Address - Street 2:
Practice Address - City:SHELBY TWP
Practice Address - State:MI
Practice Address - Zip Code:48315-2758
Practice Address - Country:US
Practice Address - Phone:586-731-6300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-14
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental