DR. Shane Ruggless, D.M.D.

NPI #1659636785 in Auburn, Illinois

Provider Information

NPI Number: 1659636785
Entity Type: Individual
Name: DR. Shane Ruggless, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Jul 4, 2012
Last Updated: Jul 4, 2012

Practice Location

Address: 500 E JACKSON ST
City: Auburn
State: Illinois
ZIP Code: 62615-9787
Phone: (217) 438-3721

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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