| Michael T. Ruetty Dds, Llc | |
|
25 Long Creek Dr South Portland ME 04106-2440 | |
| (207) 775-2072 | |
| Not Available |
| Full Name | Michael T. Ruetty Dds, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 25 Long Creek Dr, South Portland, Maine |
| Authorized Official Name and Position | Michael Thomas Ruetty (OWNER) |
| Authorized Official Contact | 2077752072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael T. Ruetty Dds, Llc 25 Long Creek Dr South Portland ME 04106-2440 Ph: (207) 775-2072 | Michael T. Ruetty Dds, Llc 25 Long Creek Dr South Portland ME 04106-2440 Ph: (207) 775-2072 |
| NPI Number | 1588781405 |
|---|---|
| Provider Enumeration Date | 03/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588781405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3184 (Maine) | Primary |
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