Ruckman Oral Surgery & Implant Center | |
9901 Auburn Rd Fort Wayne IN 46825-2345 | |
(260) 489-0001 | |
(260) 489-0004 |
Full Name | Ruckman Oral Surgery & Implant Center |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 9901 Auburn Rd, Fort Wayne, Indiana |
Authorized Official Name and Position | Gabrielle Wissman (OFFICE MANAGER) |
Authorized Official Contact | 2604890001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ruckman Oral Surgery & Implant Center 9901 Auburn Rd Fort Wayne IN 46825-2345 Ph: (260) 489-0001 | Ruckman Oral Surgery & Implant Center 9901 Auburn Rd Fort Wayne IN 46825-2345 Ph: (260) 489-0001 |
NPI Number | 1093250151 |
---|---|
Provider Enumeration Date | 12/28/2016 |
Last Update Date | 02/22/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093250151 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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