National Provider Identifier
Eric William Ruckert, DDS
Eric William Ruckert, DDS is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) in Rochester, NY and a listed phone number of (585) 473-1700.
Profile Overview
- NPI
- 1851322531
- Provider Type
- Individual
- Primary Specialty
- Oral and Maxillofacial Surgery (Dentist)
- Enumeration Date
- July 05, 2006
- Last Updated
- July 08, 2007
Practice Location
- 880 Westfall RD
- Rochester, NY 14618-2611
Phone: (585) 473-1700
Specialties
- Oral and Maxillofacial Surgery (Dentist) (1223S0112X)
Full Record
- NPI
- 1851322531
- Entity Type
- Individual
- Last Name
- Ruckert
- First Name
- Eric
- Middle Name
- William
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 880 Westfall RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-2611
- Mailing Country
- US
- Mailing Phone
- (585) 473-1700
- Mailing Fax
- (585) 271-0806
- Practice Street Address
- 880 Westfall RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-2611
- Practice Country
- US
- Practice Phone
- (585) 473-1700
- Practice Fax
- (585) 271-0806
- Enumeration Date
- July 05, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Oral and Maxillofacial Surgery (Dentist) (1223S0112X)
- Other Identifiers
- 00855078 (NY), 7877ER (NY, Excellus), 5448185 (NY, Aetna Id Number), P010034499 (NY, Blue Choice Id), 102051AT (NY, Preferred Care)