| Dr Keith R Ruter, DDS | |
|
208 N Walnut Ave, Forreston, IL 61030-9330 | |
| (815) 938-2575 | |
| (815) 938-2363 |
| Full Name | Dr Keith R Ruter |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 208 N Walnut Ave, Forreston, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295954089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Keith R Ruter, DDS 510 S 5th Ave, Forreston, IL 61030-9532 Ph: (815) 938-2502 | Dr Keith R Ruter, DDS 208 N Walnut Ave, Forreston, IL 61030-9330 Ph: (815) 938-2575 |
Jennifer L Anderson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 208 N. Walnut Ave, Forreston, IL 61030 Phone: 815-938-2575 Fax: 815-938-2363 |
Muhanned Assaf, Dentist Medicare: Not Enrolled in Medicare Practice Location: 208 N Walnut Ave, Forreston, IL 61030 Phone: 815-938-2575 |