Active NPIIndividual providerSole proprietor

Dr. Pedro E Ruiz, DMD

Dentist, General Practice in Lewiston, Idaho

NPI Number1861550998
Practice location
2360 Thain Grd, Aspen Dental, Lewiston, ID 83501
Fax
—
Last updated
March 17, 2018

Pedro E Ruiz is a Dentist, General Practice based in Lewiston, ID. Pedro E Ruiz practices in Lewiston, ID and has the professional credentials of DMD. The NPI Number for Pedro E Ruiz is 1861550998 and holds a License No. 2717 (PR). The current practice location address for Pedro E Ruiz is 2360 Thain Grd, Aspen Dental, Lewiston, ID 83501 and can be reached out via phone at 208-298-2405.

Provider Profile Details

NPI Number
1861550998
Provider Name
Pedro E Ruiz
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2360 Thain Grd, Aspen Dental, Lewiston, ID 83501
Phone Number
208-298-2405
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
December 4, 2006
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
2360 Thain Grd
Aspen Dental
Lewiston, ID 83501
State
Idaho
Zip
83501
Phone Number
208-298-2405
Lewiston, ID 83501Get directions →

Provider Business Mailing Address Details

Address
2202A Carol Dr
Lewiston, ID 83501-3895
City
Lewiston
State
ID
Zip
83501-3895
Phone Number
787-507-4183

License Information

License Number (1)
2717
License State (1)
PR
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
4885
License State (2)
ID
Taxonomy (2)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Pedro E Ruiz, DMD?

The NPI number of Dr. Pedro E Ruiz, DMD is 1861550998. It was assigned on December 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Pedro E Ruiz, DMD?

Dr. Pedro E Ruiz, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in PR under license number 2717.

Where does Dr. Pedro E Ruiz, DMD practice?

The practice location is 2360 Thain Grd, Aspen Dental, Lewiston, ID 83501. The office can be reached at 208-298-2405 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861550998 directly on the NPPES registry website.

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