Provider Demographics
NPI:1255627709
Name:RUF, AMY MARIE (DDS)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:MARIE
Last Name:RUF
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13808 W MAPLE RD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-6231
Mailing Address - Country:US
Mailing Address - Phone:402-445-4647
Mailing Address - Fax:402-445-8370
Practice Address - Street 1:13808 W MAPLE RD
Practice Address - Street 2:SUITE 112
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-6231
Practice Address - Country:US
Practice Address - Phone:402-445-4647
Practice Address - Fax:402-445-8370
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE6970122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist