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Contact Information

THOMAS D RUCKER, DDS
1107 S. CATALPA ST.
SAVANNAH, MO64485
 Phone: 816-383-1925
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for THOMAS D RUCKER · (Male)

NPI # 1336144310
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/16/2005
Last updated 01/13/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 12741
  • MO License # MO012741
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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