Provider Demographics
NPI:1164564787
Name:RUFFINO, FRANK P (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:P
Last Name:RUFFINO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51333 MOUND ROAD
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48316-4441
Mailing Address - Country:US
Mailing Address - Phone:586-739-1155
Mailing Address - Fax:586-739-2400
Practice Address - Street 1:51333 MOUND ROAD
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48316-4441
Practice Address - Country:US
Practice Address - Phone:586-739-1155
Practice Address - Fax:586-739-2400
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010169741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice