RUCKMAN ORAL SURGERY & IMPLANT CENTER
NPI 1093250151
Dentist - Oral and Maxillofacial Surgery in Fort Wayne, IN

Q: What is Ruckman Oral Surgery & Implant Center's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since December 28, 2016

9901 AUBURN RD, FORT WAYNE, IN 46825(260) 489-0001(260) 489-0004 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 22, 2022, Dec 28, 2016 (2 updates tracked since 2016).

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About Ruckman Oral Surgery & Implant Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUCKMAN ORAL SURGERY & IMPLANT CENTER (NPI 1093250151) is a healthcare organization registered as an oral and maxillofacial surgery in Fort Wayne, Indiana and active in the NPI registry since December 2016. The organization lists Gabrielle Wissman, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1093250151

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameRUCKMAN ORAL SURGERY & IMPLANT CENTER

Location Address9901 AUBURN RDFort Wayne, IN 46825-2345

Mailing Address9901 Auburn RdFort Wayne, IN 46825-2345 · (260) 489-0001 · Fax (260) 489-0004

Phone(260) 489-0001

Fax(260) 489-0004

Organization SubpartNo

Authorized OfficialGabrielle WissmanOffice Manager · (260) 489-0001

Enumeration DateDecember 28, 2016

Last NPPES UpdateFebruary 22, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2022

✔ NPI 1093250151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

9901 AUBURN RD, Fort Wayne, IN 46825

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMMA MARIE MEYER DDS

Dentist (Oral and Maxillofacial Surgery)

9901 AUBURN RD
FORT WAYNE, IN 46825

Allen County (260) 489-0001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ruckman Oral Surgery & Implant Center's NPI number?

The NPI number for Ruckman Oral Surgery & Implant Center is 1093250151. It was assigned to this organization in the NPPES registry on December 28, 2016.

Where is Ruckman Oral Surgery & Implant Center located?

Ruckman Oral Surgery & Implant Center is located at 9901 Auburn Rd, Fort Wayne, IN 46825. The listed phone number is (260) 489-0001.

What is Ruckman Oral Surgery & Implant Center's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Ruckman Oral Surgery & Implant Center was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.