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RUCKMAN ORAL SURGERY & IMPLANT CENTER NPI 1093250151


NPI Information

NPI: 1093250151
Provider Name: RUCKMAN ORAL SURGERY & IMPLANT CENTER
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
9901 AUBURN RD
FORT WAYNE, IN
ZIP 46825
Phone: (260) 489-0001
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RUCKMAN ORAL SURGERY & IMPLANT CENTER is an oral and maxillofacial surgery dentist in Fort Wayne, IN. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. RUCKMAN ORAL SURGERY & IMPLANT CENTER NPI is 1093250151. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9901 AUBURN RD
FORT WAYNE, IN
ZIP 46825-345
Phone: (260) 489-0001
Fax: (260) 489-0004

The provider's authorized official is Gabrielle Wissman .
The authorized official title is Office Manager and has the following contact phone number (260) 489-0001.

The enumeration date for this NPI number is 12/28/2016 and was last updated on 2/22/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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