Individual
DR. JOHN FRANK RUOCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1276 STAFFORD ST, MONROE, NC 28110-3286
(704) 996-2245
Mailing address
3412 BANYAN WAY, WAXHAW, NC 28173-8853
(704) 996-2245
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9512
SC
1223G0001X
General Practice Dentistry
Primary
7738
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9512
SOUTH CAROLINA BOARD OF DENTISTRY
SC
Enumeration date
01/09/2007
Last updated
08/05/2021
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