MEDICARE: DR. STEVEN K RUFF DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	12008727B	IN

General Provider Information

NPI Number	:	1306982202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN K RUFF DDS

Provider Business Mailing Address
First Line	:	1950 INDIANAPOLIS RD
Second Line	:
City	:	CRAWFORDSVILLE
State	:	IN
Zip	:	47933-3135
Country	:	US
Telephone Number	:	765-364-1740
Fax Number	:	765-364-0031

Provider Business Practice Location Address
First Line	:	1950 INDIANAPOLIS RD
Second Line	:
City	:	CRAWFORDSVILLE
State	:	IN
Zip	:	47933-3135
Country	:	US
Telephone Number	:	765-364-1740
Fax Number	:	765-364-0031

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	07/08/2007

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