Individual
DR. ERIC WILLIAM RUCKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
880 WESTFALL RD, ROCHESTER, NY 14618-2611
(585) 473-1700
(585) 271-0806
Mailing address
880 WESTFALL RD, ROCHESTER, NY 14618-2611
(585) 473-1700
(585) 271-0806
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
034499
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00855078
—
NY
01
—
102051AT
PREFERRED CARE
NY
01
—
5448185
AETNA ID NUMBER
NY
01
—
7877ER
EXCELLUS
NY
01
—
P010034499
BLUE CHOICE ID
NY
Enumeration date
07/05/2006
Last updated
07/08/2007
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