Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PHIL NOBLE RUCKMAN III, D.D.S.

Active Sole Proprietor

DR. PHIL NOBLE RUCKMAN III, D.D.S. is a General Dentistry healthcare provider located in FORT WAYNE, Indiana. NPI 1861711244 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · FORT WAYNE, IN

Registration Details

NPI Number: 1861711244
Provider Type: Individual
Gender: Male
NPI Issued: May 24, 2010 (16.238685226497 yrs)
Last Updated: May 24, 2010
License: 12011439A (IN)
Sole Proprietor: Yes

Practice Information

Address: 6405 GEORGETOWN NORTH BLVD

FORT WAYNE, IN, 468157007
Browse IN providers · Browse ZIP 46815
Phone: 2604850583
Primary Specialty: General Dentistry
1223G0001X

Other General Dentistry Providers in FORT WAYNE, IN

Name	Credential	NPI
DR. DOUGLAS F REED	D.D.S.	1679575914
DR. MULOKOZI K LUGAKINGIRA	DMD, DDS, MS.	1790787695
DR. RICHARD ALLEN LOLKUS	DDS	1891776076
DR. MARVIN PRESTON EADY JR.	DDS	1457331332
MR. EDWIN ARNOLD ERRINGTON	DDS	1568424513
DR. STEVEN CHARLES SALKELD	D.D.S.	1851353601

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.