Healthcare Provider Details

I. General information

NPI: 1114966488
Provider Name (Legal Business Name): DENNIS FRANKLIN RUPPEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 03/21/2022
Certification Date: 03/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 N HIGH ST
NEW ALBANY OH
43054-7099
US

IV. Provider business mailing address

3480 REFUGEE RD
COLUMBUS OH
43232-4814
US

V. Phone/Fax

Practice location:
  • Phone: 614-627-1878
  • Fax: 614-855-4813
Mailing address:
  • Phone: 614-235-4039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35046882
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: