| Rucker Dentistry | |
|
406 Chesterfield Ave Lancaster SC 29720-3508 | |
| (803) 283-9969 | |
| Not Available |
| Full Name | Rucker Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 406 Chesterfield Ave, Lancaster, South Carolina |
| Authorized Official Name and Position | Douglas Aaron Rucker (GENERAL DENTIST) |
| Authorized Official Contact | 8032839969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rucker Dentistry 406 Chesterfield Ave Lancaster SC 29720 Ph: (803) 283-9969 | Rucker Dentistry 406 Chesterfield Ave Lancaster SC 29720-3508 Ph: (803) 283-9969 |
| NPI Number | 1780898460 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 06/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780898460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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