| 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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