Provider Demographics
NPI:1467270033
Name:RUFFINO & WHITFORD COSMETIC & FAMILY DENTISTRY
Entity type:Organization
Organization Name:RUFFINO & WHITFORD COSMETIC & FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:DUFF
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:586-799-4240
Mailing Address - Street 1:51333 MOUND RD
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48316-4344
Mailing Address - Country:US
Mailing Address - Phone:586-799-4240
Mailing Address - Fax:586-991-7105
Practice Address - Street 1:51333 MOUND RD
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48316-4344
Practice Address - Country:US
Practice Address - Phone:586-799-4240
Practice Address - Fax:586-991-7105
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANK P RUFFINO III DDS PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental