DR. SHANE RUGGLESS (NPI# 1659636785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659636785 |
| Entity Type | Individual |
| Full Name | DR. SHANE RUGGLESS |
| Credential | D.M.D. |
| Practice Address |
500 E Jackson St Auburn IL 62615-9787 |
| Practice Telephone | 2174383721 |
| Mailing Telephone | 2174383721 |
| Enumeration Date | 2012-07-04 |
| Last Update Date | 2012-07-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019.029024 | IL | Dental Providers |
| Street Address |
500 E JACKSON ST |
| City | AUBURN |
| State | IL |
| Zip Code | 62615-9787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346785672 | Auburn Dental Care | Dentist | 500 E Jackson St, Auburn, IL 62615 | 2016-12-22 |
| 1295093003 | Delivering Smiles Ltd | Dentist | 500 E Jackson St, Auburn, IL 62615-9787 | 2012-04-30 |
| 1174834410 | Allison Leigh Heider | Dentist | 500 E Jackson St, Auburn, IL 62615-9787 | 2010-07-01 |
| 1992976344 | Steve L Hubbartt | Dentist | 500 E Jackson St, Auburn, IL 62615-9787 | 2008-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881027803 | Andrea Elise O'dell | Pharmacist | 414 N. 5th Street, Auburn, IL 62615 | 2013-08-13 |
| 1437419744 | Diane Marie Hagemann | Pharmacist | 15011 Woodland Trail Drive, Auburn, IL 62615 | 2012-05-21 |
| 1407034721 | Andrea R Graham | Physical Therapist | 412 West Jefferson Street, Auburn, IL 62615 | 2008-02-08 |
| 1841417052 | Ma. Marissa Remolana Acharon | Occupational Therapist | 304 W Maple Avenue, Auburn, IL 62615 | 2007-04-19 |
| 1972114551 | Chelsea R Black | Dental Hygienist | 428 N 8th St, Auburn, IL 62615-1006 | 2020-08-16 |
| 1467001214 | Lauren Elizabeth Sabo | Nurse Practitioner | 906 W North St, Auburn, IL 62615-1046 | 2019-09-04 |
| 1124134721 | Auburn Comm Unit School Dist 10 | Local Education Agency (LEA) | 606 W North St, Auburn, IL 62615-1144 | 2006-08-23 |
| 1174698799 | Auburn Area Ambulance Service | Ambulance | 200 W Washington St, Auburn, IL 62615-1149 | 2006-11-21 |
| 1821098211 | Auburn Nursing and Rehabilitation | Skilled Nursing Facility | 304 W Maple Ave, Auburn, IL 62615-1177 | 2005-07-28 |
| 1700326048 | Brandy Brown | Non-emergency Medical Transport (VAN) | 404 S 9th St, Auburn, IL 62615-1357 | 2017-03-06 |
| Find all providers in zip 62615 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568026284 | Yi He | Dentist | 1404 Lake Tapps Pkwy Se Ste A103, Auburn, WA 98092-8156 | 2019-04-29 |
| 1841660537 | Auburn Dental Clinic, P. A. | Dentist | 140 A East 9th Street, 140 A, Auburn, KS 66402-0147 | 2015-10-07 |
| 1841672532 | Auburn Dental Group P.C. | Dentist | 492 Washington St, Auburn, MA 01501-5708 | 2015-06-18 |
| 1326425638 | Alayna Ruth Mender | Dentist | 7 Raymond Road, Auburn, NH 03032 | 2015-05-06 |
| 1497158257 | David Scott Phillips | Dentist | 710 12th Street Se, Auburn, WA 98002 | 2014-10-07 |
| 1124437793 | Benjamin Tubo | Dentist | 824 Southbridge St Ste 200, Auburn, MA 01501 | 2014-08-08 |
| 1811319205 | Shaun S. Lee D.d.s | Dentist | 1320 8th St Ne Ste 103, Auburn, WA 98002-4589 | 2014-01-20 |
| 1922448778 | Gilsun Yu Dds Pllc | Dentist | 4017 A St Se Ste 104, Auburn, WA 98002-8607 | 2013-06-26 |
| 1861774374 | Deedra A Truschinger | Dentist | 930 N Washington, Auburn, KS 66402 | 2011-09-12 |
| 1275814436 | Ryan Anardi | Dentist | 1320 8th St Ne Ste 101, Auburn, WA 98002-4589 | 2011-09-01 |
| Find all providers in AUBURN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.