Individual provider · Type 1 NPI

Marshall S. Ruby, DMD

Pediatric Dentistry · Portland, OR

NPI number 1255403143 Active

Practice location

1600 SW Cedar Hills Blvd
Portland, OR 97225-5439

Fax (503) 644-1659

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XD6341 (OR)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1255403143

Marshall S. Ruby, DMD's National Provider Identifier is 1255403143, issued on Nov 15, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.