Individual provider · Type 1 NPI

Phil Noble Ruckman Iii, DDS

General Practice Dentistry · Fort Wayne, IN

NPI number 1861711244 Active

Practice location

6405 Georgetown North Blvd
Fort Wayne, IN 46815-7007

Mailing address

10708 Trade Wind Ct
Fort Wayne, IN 46825-2662

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X12011439A (IN)

General Practice Dentistry: 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.

4 other providers at this address

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About NPI 1861711244

Phil Noble Ruckman Iii, DDS's National Provider Identifier is 1861711244, issued on May 24, 2010. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fort Wayne, IN. The record was last updated on May 24, 2010.