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Dr. Shane Ruggless, DMD
General Practice Dentistry in Auburn, Illinois
NPI 1659636785

Shane Ruggless is a General Practice Dentistry based in Auburn, IL and is specialized in General Practice. Shane Ruggless practices in Auburn, IL and has the professional credentials of DMD. The NPI Number for Shane Ruggless is 1659636785 and holds a License No. 019.029024 (Illinois).

The current practice location address for Shane Ruggless is 500 E Jackson St, Auburn, IL and can be reached out via phone at 217-438-3721.

Location: 500 E Jackson St, Auburn, IL, 62615-9787
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659636785
Provider Name
Shane Ruggless
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
500 E Jackson St, Auburn, IL, 62615-9787
Phone Number
217-438-3721
Fax Number
Provider Enumeration Date
07/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
500 E Jackson St
City
Auburn
State
Illinois
Zip
62615-9787
Phone Number
217-438-3721
Fax Number
person
Provider Business Mailing Address Details
Address
500 E Jackson St
City
Auburn
State
Illinois
Zip
62615-9787
Phone Number
217-438-3721
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019.029024 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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