Ruff, Gordon James

Ruff, Gordon James is an sole proprietor health care provider with primary practice located at 2058 Genesee St , Utica NY 13502. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ruff, Gordon James can be contacted via phone (315) 724-2394.

Contact Information

Primary practice address
2058 Genesee St Utica NY 13502
Phone: (315) 724-2394
Fax: (315) 738-0965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0281531 New York

Profile Details

NPI number 1487847661
LBN Legal business name Ruff, Gordon James
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2007
Last updated Aug 22nd, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487847661 NPPES
New York MEDICAID 00564241

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