Provider Demographics
NPI:1013669134
Name:PATRICK T RUTH, D.D.S., P.L.L.C
Entity type:Organization
Organization Name:PATRICK T RUTH, D.D.S., P.L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:RUTH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:989-790-3357
Mailing Address - Street 1:PO BOX 5795
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-0795
Mailing Address - Country:US
Mailing Address - Phone:989-790-3357
Mailing Address - Fax:989-790-3443
Practice Address - Street 1:4400 FASHION SQUARE BLVD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-1251
Practice Address - Country:US
Practice Address - Phone:989-790-3357
Practice Address - Fax:989-790-3443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental