Ruggiero, Carl William

Ruggiero, Carl William is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Ms 773, Milwaukee WI 53226-4874. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Ruggiero, Carl William can be contacted via phone (414) 266-2040.

Contact Information

Primary practice address
9000 W Wisconsin Ave Ms 773 Milwaukee WI 53226-4874
Fax: (414) 266-5677
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 17902-875 Wisconsin

Profile Details

NPI number 1356450464
LBN Legal business name Ruggiero, Carl William
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Dec 2nd, 2013 - about 12 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 1356450464 NPPES
Wisconsin MEDICAID 1356450464

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