Provider Demographics
NPI:1639368434
Name:RUFO, PATRICK A (DDS)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:A
Last Name:RUFO
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 1:2222 FRANCISCO DR.
Mailing Address - Street 2:#460
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762
Mailing Address - Country:US
Mailing Address - Phone:916-933-3011
Mailing Address - Fax:916-933-6011
Practice Address - Street 1:2222 FRANCISCO DR STE 460
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-3780
Practice Address - Country:US
Practice Address - Phone:916-933-3011
Practice Address - Fax:916-933-6011
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-17
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDD5059122300000X
CA413021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist