Provider Demographics
NPI:1013966522
Name:RUGANI, FRANK C (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:C
Last Name:RUGANI
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 1:6233 SINGLETREE LN
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:MI
Mailing Address - Zip Code:49690-8900
Mailing Address - Country:US
Mailing Address - Phone:231-938-3065
Mailing Address - Fax:231-946-1004
Practice Address - Street 1:13300 S WEST BAY SHORE DR
Practice Address - Street 2:SUITE 1
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-5571
Practice Address - Country:US
Practice Address - Phone:231-946-0207
Practice Address - Fax:231-946-1004
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI86161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice