Rucker Dentistry

NPI #1780898460 in Lancaster, South Carolina

Provider Information

NPI Number: 1780898460
Entity Type: Organization
Organization Name: Rucker Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: May 10, 2007
Last Updated: Jun 14, 2011

Practice Location

Address: 406 CHESTERFIELD AVE
City: Lancaster
State: South Carolina
ZIP Code: 29720-3508
Phone: (803) 283-9969

Authorized Official

Name: DR. DOUGLAS AARON RUCKER
Title: GENERAL DENTIST
Phone: (803) 283-9969

Specialties & Taxonomy Codes

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

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