| Ronald L Rumbaugh Dds Pc | |
|
10506 Coldwater Rd Fort Wayne IN 46845-1235 | |
| (260) 637-6976 | |
| (260) 637-6976 |
| Full Name | Ronald L Rumbaugh Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10506 Coldwater Rd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Ronald Lee Rumbaugh (PRESIDENT) |
| Authorized Official Contact | 2606376976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald L Rumbaugh Dds Pc 10506 Coldwater Rd Fort Wayne IN 46845-1235 Ph: (260) 637-6976 | Ronald L Rumbaugh Dds Pc 10506 Coldwater Rd Fort Wayne IN 46845-1235 Ph: (260) 637-6976 |
| NPI Number | 1578959375 |
|---|---|
| Provider Enumeration Date | 04/09/2015 |
| Last Update Date | 04/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578959375 | NPI | - | NPPES |
| 100055440A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12008140A (Indiana) | Primary |
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