Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kevin Donald Prush, DDS

Individual provider General Practice Dentistry · NPI 1982668372

Dr. Kevin Donald Prush, DDS is a General Practice Dentistry in Saint Clair Shores, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

30231 Jefferson Ave
Saint Clair Shores, MI 48082-1787
Phone: (586) 775-2400
Fax: (586) 775-2406
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 015251 (MI)

Record details

NPI number1982668372
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 13, 2006
Last updated in NPPESAugust 25, 2022
Certification dateAugust 25, 2022

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