Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANE RUGGLESS, D.M.D.
ActiveDR. SHANE RUGGLESS, D.M.D. is a General Dentistry healthcare provider located in AUBURN, Illinois. NPI 1659636785 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · AUBURN, IL
Registration Details
- NPI Number
- 1659636785
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 4, 2012 (13.968469976211 yrs)
- Last Updated
- Jul 4, 2012
- License
-
019.029024 (IL)
Practice Information
- Address
-
500 E JACKSON STAUBURN, IL, 626159787Browse IL providers · Browse ZIP 62615
- Phone
- 2174383721
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.