Ruckman Oral Surgery & Implant Center
NPI #1093250151 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1093250151
- Entity Type
- Organization
- Organization Name
- Ruckman Oral Surgery & Implant Center
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Dec 28, 2016
- Last Updated
- Feb 22, 2022
Practice Location
- Address
- 9901 AUBURN RD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46825-2345
- Phone
- (260) 489-0001
Authorized Official
- Name
- GABRIELLE WISSMAN
- Title
- OFFICE MANAGER
- Phone
- (260) 489-0001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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