Provider Demographics
NPI:1851456875
Name:ZEKONIS, RUTA (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:RUTA
Middle Name:
Last Name:ZEKONIS
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3026 ALDWYCH CT
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-6942
Mailing Address - Country:US
Mailing Address - Phone:317-422-1605
Mailing Address - Fax:317-534-3115
Practice Address - Street 1:4131 SHELBY ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-3727
Practice Address - Country:US
Practice Address - Phone:317-784-2955
Practice Address - Fax:317-784-2036
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010649A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice