DR. ERIC WILLIAM RUCKERT DDS NPI 1851322531

NPI Information

NPI: 1851322531
Provider Name: DR. ERIC WILLIAM RUCKERT, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
880 WESTFALL RD
ROCHESTER, NY
ZIP 14618
Phone: (585) 473-1700
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DR. Eric William Ruckert, DDS is an oral and maxillofacial surgery dentist in Rochester, NY with 45 years of experience. 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. DR. Eric William Ruckert, DDS NPI is 1851322531. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduation Year:1979

The provider's business location address is:

880 WESTFALL RD
ROCHESTER, NY
ZIP 14618-611
Phone: (585) 473-1700
Fax: (585) 271-0806

The NPI 1851322531 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/5/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	034499	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	102051AT	OTHER	NEW YORK	PREFERRED CARE
2	U02940	MEDICARE UPIN	NEW YORK
3	7877ER	OTHER	NEW YORK	EXCELLUS
4	39849B	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
5	5448185	OTHER	NEW YORK	AETNA ID NUMBER
6	P010034499	OTHER	NEW YORK	BLUE CHOICE ID
7	00855078	MEDICAID	NEW YORK

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

NPI Synchronization or Removal

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