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Contact Information

RANDALL S RUMINSON, DDS
6626 E BASELINE RD, STE 101
THUNDERBIRD DENTAL GROUP
MESA, AZ85206
 Phone: 480-218-8800
 Fax:
 Website: http://myazsmile.com
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for RANDALL S RUMINSON · (Male)

NPI Number 1023179165
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/13/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 6104
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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