Provider Demographics
NPI:1215011093
Name:RULE, DAVID HARRIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:HARRIS
Last Name:RULE
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:PO BOX 71
Mailing Address - Street 2:
Mailing Address - City:NESPELEM
Mailing Address - State:WA
Mailing Address - Zip Code:99155-0071
Mailing Address - Country:US
Mailing Address - Phone:509-634-2900
Mailing Address - Fax:509-634-2945
Practice Address - Street 1:29 9TH SANPOIL ST
Practice Address - Street 2:COLVILLE INDIAN HEALTH SERVICES
Practice Address - City:NESPELEM
Practice Address - State:WA
Practice Address - Zip Code:99155
Practice Address - Country:US
Practice Address - Phone:509-634-2900
Practice Address - Fax:509-634-2945
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000105581223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5400189Medicaid
WA5400197Medicaid