Provider Demographics
NPI:1255897781
Name:DANIEL STUART RUFF DDS, PC
Entity type:Organization
Organization Name:DANIEL STUART RUFF DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:RUFF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:989-450-9427
Mailing Address - Street 1:1407 S EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-3315
Mailing Address - Country:US
Mailing Address - Phone:989-893-0611
Mailing Address - Fax:
Practice Address - Street 1:1407 S EUCLID AVE
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-3315
Practice Address - Country:US
Practice Address - Phone:989-893-0611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-20
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental