Provider Demographics
NPI:1457561102
Name:RUIZ, ERIC F (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:F
Last Name:RUIZ
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 1:10 COBBLE CT
Mailing Address - Street 2:
Mailing Address - City:UNIONVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06085-1593
Mailing Address - Country:US
Mailing Address - Phone:860-839-2744
Mailing Address - Fax:
Practice Address - Street 1:44 DALE RD
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CT
Practice Address - Zip Code:06001-4315
Practice Address - Country:US
Practice Address - Phone:860-677-6405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0111111223G0001X
CT0097941223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health
Yes1223G0001XDental ProvidersDentistGeneral Practice