| Ralph K Ruckman, D.d.s., P.c. | |
|
4801 S Cliff Ave Ste 208 Independence MO 64055-7015 | |
| (816) 373-8002 | |
| (816) 379-0011 |
| Full Name | Ralph K Ruckman, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4801 S Cliff Ave, Independence, Missouri |
| Authorized Official Name and Position | Ralph K Ruckman (DENTIST) |
| Authorized Official Contact | 8163738002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ralph K Ruckman, D.d.s., P.c. 4801 S Cliff Ave Ste 208 Independence MO 64055-7015 Ph: (816) 373-8002 | Ralph K Ruckman, D.d.s., P.c. 4801 S Cliff Ave Ste 208 Independence MO 64055-7015 Ph: (816) 373-8002 |
| NPI Number | 1255345682 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255345682 | NPI | - | NPPES |
| 138920 | Other | MO | UNITED CONCORDIA |
| 14192 | Other | MO | DELTA DENTAL |
| 242220 | Other | MO | TRIGON |
| 10859 | Other | MO | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14192 (Missouri) | Primary |
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