Dr Shane Ruggless, DMD is a 
Dentist - General Practice based in Auburn, Illinois. Dr Shane Ruggless is licensed to practice in Illinois (license number 019.029024) and his current practice location is 
500 E Jackson St, Auburn, Illinois. He can be reached at his office (for appointments etc.) via phone at 
(217) 438-3721.
NPI number for Dr Shane Ruggless is 1659636785 and his current mailing address is 500 E Jackson St, Auburn, Illinois. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659636785.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Dr Shane Ruggless | 
|---|
| Gender | Male | 
|---|
| Speciality | Dentist - General Practice | 
|---|
| Location | 500 E Jackson St, Auburn, Illinois | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1659636785
 - Provider Enumeration Date: 07/04/2012
 - Last Update Date: 07/04/2012
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Dr Shane Ruggless such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1659636785 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 1223G0001X | Dentist - General Practice  | 019.029024 (Illinois) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shane Ruggless is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Dr Shane Ruggless, DMD 500 E Jackson St, Auburn, IL 62615-9787 Ph: (217) 438-3721 | Dr Shane Ruggless, DMD 500 E Jackson St, Auburn, IL 62615-9787 Ph: (217) 438-3721 | 
		
		 
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