Individual
DR. CARLTON D RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
575 SPRINGCREST DR STE A, FORT MILL, SC 29715-7324
(803) 547-1888
(803) 547-8533
Mailing address
575 SPRINGCREST DR STE A, FORT MILL, SC 29715-7324
(803) 547-1888
(803) 547-8533
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3742
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3742
—
SC
Enumeration date
05/05/2006
Last updated
06/29/2022
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