MEDICARE: RONALD L RUMBAUGH DDS PC

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	12008140A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578959375
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RONALD L RUMBAUGH DDS PC

Provider Business Mailing Address
First Line	:	10506 COLDWATER RD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46845-1235
Country	:	US
Telephone Number	:	260-637-6976
Fax Number	:	260-637-6976

Provider Business Practice Location Address
First Line	:	10506 COLDWATER RD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46845-1235
Country	:	US
Telephone Number	:	260-637-6976
Fax Number	:	260-637-6976

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RONALD LEE RUMBAUGH
Credential	:	DDS
Telephone Number	:	260-637-6976

Provider Enumeration Date	:	04/09/2015
Last Update Date	:	04/09/2015

Similar Medicare Providers

1083217970 — HARRISON DENTAL GROUP III LLC
Practice Location Address:

10506 COLDWATER RD
FORT WAYNE, IN
46845-1235

Practice Phone: 260-747-4747
Practice Fax:

1316542830 — CEDAR CREEK PSYCHOLOGICAL SERVICES LLC
Practice Location Address:

1235 OAK TRAIL CT
FORT WAYNE, IN
46845-6120

Practice Phone: 260-348-8031
Practice Fax:

1841982105 — DR. COLIN BRANNAGAN DDS
Practice Location Address:

10506 COLDWATER RD
FORT WAYNE, IN
46845-1235

Practice Phone: 260-637-6976
Practice Fax:

1073610689 — MIR ABDUL KARIM MOSHREF MD
Practice Location Address:

2110 LOWER HUNTINGTON RD
FORT WAYNE, IN
46819-1235

Practice Phone: 260-478-9960
Practice Fax: 260-478-9670

1265863187 — KARIM MOSHREF MD PC
Practice Location Address:

2110 LOWER HUNTINGTON RD
FORT WAYNE, IN
46819-1235

Practice Phone: 260-478-9960
Practice Fax: 260-478-9670

1477801892 — TRI STATE PHYSICAL THERAPY LLC
Practice Location Address:

1235 ROUTE 23 SOUTH
WAYNE, NJ
07470

Practice Phone: 973-633-6600
Practice Fax: 973-633-1100

Directions to “RONALD L RUMBAUGH DDS PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.