| Robert S. Ruhl, Dmd, Pc | |
| 
					25 Coldbrook Rd Suite 1 Wilmington VT 05363-9624  | |
| (802) 464-8853 | |
| (802) 464-3657 | 
| Full Name | Robert S. Ruhl, Dmd, Pc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 25 Coldbrook Rd, Wilmington, Vermont | 
| Authorized Official Name and Position | Robert S. Ruhl (PRESIDENT) | 
| Authorized Official Contact | 8024648853 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Robert S. Ruhl, Dmd, Pc 25 Coldbrook Rd Suite 1 Wilmington VT 05363-9624 Ph: (802) 464-8853  | Robert S. Ruhl, Dmd, Pc 25 Coldbrook Rd Suite 1 Wilmington VT 05363-9624 Ph: (802) 464-8853  | 
| NPI Number | 1720299100 | 
|---|---|
| Provider Enumeration Date | 05/25/2007 | 
| Last Update Date | 09/10/2007 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720299100 | NPI | - | NPPES | 
| 0002408 | Medicaid | VT | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 775 (Vermont) | Primary | 
Tiffany Sreca Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Coldbrook Rd, Wilmington, VT 05363 Phone: 802-464-8853  |