Organization
RALPH K RUCKMAN, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH K RUCKMAN D.D.S. (DENTIST)
(816) 373-8002
Entity
Organization
Contact information
Practice address
4801 S CLIFF AVE, STE 208, INDEPENDENCE, MO 64055-7015
(816) 373-8002
(816) 379-0011
Mailing address
4801 S CLIFF AVE, STE 208, INDEPENDENCE, MO 64055-7015
(816) 373-8002
(816) 379-0011
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14192
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10859
BLUE CROSS BLUE SHIELD
MO
01
—
138920
UNITED CONCORDIA
MO
01
—
14192
DELTA DENTAL
MO
01
—
242220
TRIGON
MO
Enumeration date
07/28/2006
Last updated
08/22/2020
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