Jim Everett Ruckman JIM RUCKMAN D.M.D.

NPI 1679738850 - Dentist - 1223E0200X

NPI Details
NPI 1679738850
Gender Male
Enumeration Date 07/27/2008
Last Updated 03/16/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
750 GOODPASTURE ISLAND RD
EUGENE OR, 97401-1751, US
Phone (541) 484-0470
Fax
Business Location
1595 REGENCY DR
EUGENE OR, 97401-7078, US
Phone (541) 232-7256
Fax
Toxanomy
Taxonomy Code 1223E0200X
License State Oregon
License Number D9767
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According to our database, Dr. Jim Everett Ruckman JIM RUCKMAN D.M.D. NPI is 1679738850, taxonomy code is 1223E0200X and license number is D9767, license state is located at Oregon. Jim Everett Ruckman JIM RUCKMAN D.M.D. physically located at 750 Goodpasture Island Rd, Eugene OR, 97401-1751. NPI Number Jim Everett Ruckman JIM RUCKMAN D.M.D. has the Individual type.

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1679738850 NPI number is provided on an as is basis without warranty of any kind. 1679738850 is maintained by the National Plan & Provider Enumeration System. The contents of Jim Everett Ruckman JIM RUCKMAN D.M.D. are for informational purposes only.