Provider Demographics
NPI:1245679901
Name:RUFF, DANIEL S (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:S
Last Name:RUFF
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:DANIEL
Other - Middle Name:S
Other - Last Name:RUFF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1631 MIDLAND RD
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-9449
Mailing Address - Country:US
Mailing Address - Phone:989-893-3082
Mailing Address - Fax:989-893-9898
Practice Address - Street 1:1631 MIDLAND RD
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-9449
Practice Address - Country:US
Practice Address - Phone:989-893-3082
Practice Address - Fax:989-893-9898
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-17
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010209591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice