RONALD L RUMBAUGH DDS PC NPI 1578959375

NPI Information

  • NPI: 1578959375
  • Provider Name: RONALD L RUMBAUGH DDS PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 10506 COLDWATER RD
    FORT WAYNE, IN
    ZIP 46845
  • Phone: (260) 637-6976

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NPI Details

RONALD L RUMBAUGH DDS PC is a general practice dentist in Fort Wayne, IN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. RONALD L RUMBAUGH DDS PC NPI is 1578959375. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10506 COLDWATER RD
FORT WAYNE, IN
ZIP 46845-235
Phone: (260) 637-6976
Fax: (260) 637-6976

The provider's authorized official is Ronald Lee Rumbaugh .
The authorized official title is President and has the following contact phone number (260) 637-6976.

The enumeration date for this NPI number is 4/9/2015 and was last updated on 4/9/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice12008140AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100055440AMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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