Phil Ruckman, D.D.S

NPI 1861711244 · on the registry since 2010 · sole proprietor

Practice

Address: 6405 Georgetown North Blvd
Fort Wayne, IN 46815
Phone: (260) 485-0583
Organisation at this address: Bruick Dentistry Pc
Georgetown North Dental Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: IN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-05-24

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 Indiana