Provider Demographics
NPI:1740274455
Name:RUFF, MICHAEL JAMES (DDS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JAMES
Last Name:RUFF
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 1:8201 SPINNAKER BAY DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80528-7505
Mailing Address - Country:US
Mailing Address - Phone:970-226-4098
Mailing Address - Fax:970-226-4971
Practice Address - Street 1:8201 SPINNAKER BAY DR
Practice Address - Street 2:SUITE A
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80528-7505
Practice Address - Country:US
Practice Address - Phone:970-226-4098
Practice Address - Fax:970-226-4971
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-08
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO87031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice