DR. Dwight Antonio Ruddock, D.D.S is a general practice dentist in Fort Worth, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Dwight Antonio Ruddock, D.D.S NPI is 1275546780. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
719 HEMPHILL ST
FORT WORTH, TX
ZIP 76104-106
Phone: (817) 335-3806
Fax: (817) 338-1681
The NPI 1275546780 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 8/14/2006 and was last updated on 7/8/2007.