Individual provider · Type 1 NPI

Jonathan Wade Rucker, DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Temecula, CA

NPI number 1124308770 Active

Practice location

31560 Rancho Pueblo Rd, 201
Temecula, CA 92592-4858

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X62059 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1124308770

Jonathan Wade Rucker, DDS, MS's National Provider Identifier is 1124308770, issued on Aug 26, 2011. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Temecula, CA. The record was last updated on May 31, 2025.