Healthcare Provider Details
I. General information
NPI: 1023127149
Provider Name (Legal Business Name): RUGGIERO AND FRANCIS DENTISTRY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2145 GREEN VISTA DR 110
SPARKS NV
89431-8543
US
IV. Provider business mailing address
2145 GREEN VISTA DR 110
SPARKS NV
89431-8543
US
V. Phone/Fax
- Phone: 775-331-9477
- Fax: 775-331-2181
- Phone: 775-331-9477
- Fax: 775-331-2181
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223P0221X |
| Taxonomy | Pediatric Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PERRY
FRANCIS
Title or Position: OWNER
Credential: DDS
Phone: 775-331-9477