Healthcare Provider Details

I. General information

NPI: 1033055355
Provider Name (Legal Business Name): RNK TUSK DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5311 PATTERSON AVE
RICHMOND VA
23226-2041
US

IV. Provider business mailing address

5311 PATTERSON AVE
RICHMOND VA
23226-2041
US

V. Phone/Fax

Practice location:
  • Phone: 804-282-6665
  • Fax:
Mailing address:
  • Phone: 804-282-6665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: ASHLYN NICOLE FERGUSON
Title or Position: OFFICE MANAGER
Credential:
Phone: 804-335-0599