| Keith Ruter Llc Dba Riverside Dental | |
|
401 Main St Savanna IL 61074-1535 | |
| (815) 273-2212 | |
| (815) 273-1081 |
| Full Name | Keith Ruter Llc Dba Riverside Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 401 Main St, Savanna, Illinois |
| Authorized Official Name and Position | Keith R Ruter (OWNER) |
| Authorized Official Contact | 8159382566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Ruter Llc Dba Riverside Dental 401 Main St Savanna IL 61074-1535 Ph: (815) 273-2212 | Keith Ruter Llc Dba Riverside Dental 401 Main St Savanna IL 61074-1535 Ph: (815) 273-2212 |
| NPI Number | 1750640439 |
|---|---|
| Provider Enumeration Date | 05/15/2012 |
| Last Update Date | 10/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750640439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019019570 (Illinois) | Primary |
Riverside Dental, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Main St, Savanna, IL 61074 Phone: 815-273-2212 Fax: 815-273-2218 |