MEDICARE: FRANK P RUFFINO III 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	332B00000X	Durable Medical Equipment & Medical Supplies
2	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1306454335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANK P RUFFINO III DDS PC

Provider Business Mailing Address
First Line	:	51333 MOUND RD
Second Line	:
City	:	SHELBY TWP
State	:	MI
Zip	:	48316-4344
Country	:	US
Telephone Number	:	586-799-4240
Fax Number	:

Provider Business Practice Location Address
First Line	:	51333 MOUND RD
Second Line	:
City	:	SHELBY TWP
State	:	MI
Zip	:	48316-4344
Country	:	US
Telephone Number	:	586-799-4240
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	JENNIFER DUFF
Credential	:	RDH
Telephone Number	:	586-799-4240

Provider Enumeration Date	:	07/15/2020
Last Update Date	:	03/18/2025

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