Ruder Hospital Dentistry, P.c. | |
400 2nd Ave N Amory MS 38821-3513 | |
(662) 256-1582 | |
(662) 256-9860 |
Full Name | Ruder Hospital Dentistry, P.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 400 2nd Ave N, Amory, Mississippi |
Authorized Official Name and Position | Joseph E Ruder (OWNER) |
Authorized Official Contact | 9014126323 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ruder Hospital Dentistry, P.c. 400 2nd Ave N Amory MS 38821-3513 Ph: (662) 256-1582 | Ruder Hospital Dentistry, P.c. 400 2nd Ave N Amory MS 38821-3513 Ph: (662) 256-1582 |
NPI Number | 1356711717 |
---|---|
Provider Enumeration Date | 09/29/2015 |
Last Update Date | 09/29/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356711717 | NPI | - | NPPES |
01738856 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3450-08 (Mississippi) | Primary |
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