Provider Demographics
NPI:1164688768
Name:RUHLAND, ELEANOR NOEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:ELEANOR
Middle Name:NOEL
Last Name:RUHLAND
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ELEANOR
Other - Middle Name:NOEL
Other - Last Name:WILKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:3636 GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14225-3544
Mailing Address - Country:US
Mailing Address - Phone:716-632-9410
Mailing Address - Fax:
Practice Address - Street 1:3636 GENESEE ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14225-3544
Practice Address - Country:US
Practice Address - Phone:716-632-9410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-03
Last Update Date:2021-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053960122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist