RUSLAN FOMENKO DMD
NPI 1548002256
Dentist - General Practice in Traverse City, MI

Q: What is Ruslan Fomenko's NPI number?

The NPI number for Ruslan Fomenko is 1548002256. It was assigned to this individual provider in the NPPES registry on June 12, 2024.

Q: What is Ruslan Fomenko's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Ruslan Fomenko was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 12, 2024

2815 GARFIELD RD N, TRAVERSE CITY, MI 49686(231) 947-4380 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ruslan Fomenko Dmd NPPES

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

RUSLAN FOMENKO DMD (NPI 1548002256) is an individual general practice provider in Traverse City, Michigan, licensed in Michigan (2901602281) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1548002256

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameRUSLAN FOMENKOCredential: DMD

Location Address2815 GARFIELD RD NTraverse City, MI 49686-5005

Mailing Address2815 Garfield Rd NTraverse City, MI 49686-5005 · (231) 947-4380

Phone(231) 947-4380

Sole ProprietorNo

Enumeration DateJune 12, 2024

NPPES CertifiedJune 12, 2024

✔ NPI 1548002256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 2901602281

Definition

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.

2815 GARFIELD RD N, Traverse City, MI 49686

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan.Insurance ›

Other Providers at the Same Location NPPES 3

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

KRISTEN GUPTILL DDS

Dentist

2815 GARFIELD RD N
TRAVERSE CITY, MI 49686

Grand Traverse County (231) 947-4380

RONALD C. CHAO D.D.S.

Dentist (General Practice)

2815 GARFIELD RD N
TRAVERSE CITY, MI 49686

Grand Traverse County (231) 947-4380

BDD OF MICHIGAN P.C.

Dentist

2815 GARFIELD RD N
TRAVERSE CITY, MI 49686

Grand Traverse County (231) 947-4380

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 Ruslan Fomenko's NPI number?

The NPI number for Ruslan Fomenko is 1548002256. It was assigned to this individual provider in the NPPES registry on June 12, 2024.

Where is Ruslan Fomenko located?

Ruslan Fomenko practices at 2815 Garfield Rd N, Traverse City, MI 49686. The listed phone number is (231) 947-4380.

What is Ruslan Fomenko's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Ruslan Fomenko accept?

Health plans from Delta Dental of Michigan list Ruslan Fomenko as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ruslan Fomenko was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.