SearchIllinoisGeneral Practice Dentistry

Keith Ruter, D.D.S

NPI 1295954089 · on the registry since 2007

Practice

Address
208 N Walnut Ave
Forreston, IL 61030
Phone
(815) 938-2575
Fax
(815) 938-2363
Organisation at this address
Shady Oak Dental Llc Oral And Maxillofacial Surgeons Of Northwest Il
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois