LISA GUSHIN D.D.S. P.A.
NPI 1558548875
Clinic/Center - Dental in Fayetteville, NC

Active since January 29, 2008
203 OWEN DR, FAYETTEVILLE, NC 28304(910) 484-1771(910) 484-8876 Get Directions Write a Review

NPPES record last updated: January 29, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Lisa Gushin D.d.s. P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA GUSHIN D.D.S. P.A. (NPI 1558548875) is a healthcare organization registered as a dental in Fayetteville, North Carolina and active in the NPI registry since January 2008. The organization lists Lisa Gushin, President, as its authorized official.

NPPES Registry Identity

NPI1558548875
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLISA GUSHIN D.D.S. P.A.
Location Address203 OWEN DRFayetteville, NC 28304-3409
Mailing Address203 Owen DrFayetteville, NC 28304-3409 · (910) 484-1771 · Fax (910) 484-8876
Fax(910) 484-8876
Organization SubpartNo
Authorized OfficialLisa GushinPresident · (910) 484-1771
Enumeration DateJanuary 29, 2008
NPI 1558548875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in NC · 6908
203 OWEN DR, Fayetteville, NC 28304

Other Identifiers 3

Other586286NC · United Concordia
Other9010FNC · Bcbs
Medicaid899010FNC

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
203 OWEN DR
FAYETTEVILLE, NC 28304
Dentist (General Practice)
203 OWEN DR
FAYETTEVILLE, NC 28304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Gushin D.D.S. P.A.'s NPI number?

The NPI number for Lisa Gushin D.D.S. P.A. is 1558548875. It was assigned to this organization in the NPPES registry on January 29, 2008.

Where is Lisa Gushin D.D.S. P.A. located?

Lisa Gushin D.D.S. P.A. is located at 203 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 484-1771.

What is Lisa Gushin D.D.S. P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Lisa Gushin D.D.S. P.A. was last updated on January 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.