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
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 12011439A (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.