Individual
DR. RALPH KARL RUCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
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) 373-4554
(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
MO
01
—
242220
TRIGON
MO
Enumeration date
07/31/2006
Last updated
07/08/2007
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