Provider Demographics
NPI:1558371062
Name:RUPPEL, SOLVEIG B (DDS)
Entity Type:Individual
Prefix:DR
First Name:SOLVEIG
Middle Name:B
Last Name:RUPPEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 S DALE MABRY HWY
Mailing Address - Street 2:SUITE 14
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-5035
Mailing Address - Country:US
Mailing Address - Phone:813-639-9788
Mailing Address - Fax:813-639-4318
Practice Address - Street 1:1155 S DALE MABRY HWY
Practice Address - Street 2:SUITE 14
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629-5035
Practice Address - Country:US
Practice Address - Phone:813-639-9788
Practice Address - Fax:813-639-4318
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 143721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice