# DOUGLAS R RUTER DDS PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740387000
- **Authorized official:** DR. DOUGLAS RONALD RUTER DDS (PRESIDENT)
- **Authorized official phone:** (812) 926-1854

## Contact information

- **Practice address:** 402 4TH ST, AURORA, IN 47001-1208
- **Practice address phone:** (812) 926-1854
- **Mailing address:** 402 4TH ST, AURORA, IN 47001-1208
- **Mailing address phone:** (812) 926-1854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12009920 | IN | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/22/2020
