DR. PHIL NOBLE RUCKMAN III D.D.S.
NPI 1861711244
Dentist - General Practice in Fort Wayne, IN

Q: What is Phil Ruckman's NPI number?

The NPI number for Phil Ruckman is 1861711244. It was assigned to this individual provider in the NPPES registry on May 24, 2010.

Q: What is Phil Ruckman'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 Phil Ruckman was last updated on May 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 May 24, 2010

6405 GEORGETOWN NORTH BLVD, FORT WAYNE, IN 46815(260) 485-0583 Get Directions Write a Review

NPPES record last updated: May 24, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Phil Noble Ruckman Iii D.d.s. NPPES

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

DR. PHIL NOBLE RUCKMAN III D.D.S. (NPI 1861711244) is an individual general practice provider in Fort Wayne, Indiana, licensed in Indiana (12011439A) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1861711244

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. PHIL NOBLE RUCKMAN IIICredential: D.D.S.

Location Address6405 GEORGETOWN NORTH BLVDFort Wayne, IN 46815-7007

Mailing Address10708 Trade Wind CtFort Wayne, IN 46825-2662 · (260) 750-7825

Phone(260) 485-0583

Sole ProprietorYes

Enumeration DateMay 24, 2010

✔ NPI 1861711244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IN · 12011439A

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.

6405 GEORGETOWN NORTH BLVD, Fort Wayne, IN 46815

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Other Providers at the Same Location NPPES 4

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

GEORGETOWN NORTH DENTAL CARE LLC

Clinic/Center (Dental)

6405 GEORGETOWN NORTH BLVD
FORT WAYNE, IN 46815

Allen County (260) 485-0583

DR. SHAMSA F KHAN DMD

Dentist

6405 GEORGETOWN NORTH BLVD
FORT WAYNE, IN 46815

Allen County (260) 485-0583

DR. DWANE RICHARD BRUICK DDS

Dentist

6405 GEORGETOWN NORTH BLVD
FORT WAYNE, IN 46815

Allen County (260) 485-0583

BRUICK DENTISTRY PC

Dentist (General Practice)

6405 GEORGETOWN NORTH BLVD
FORT WAYNE, IN 46815

Allen County (260) 485-0583

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 Phil Ruckman's NPI number?

The NPI number for Phil Ruckman is 1861711244. It was assigned to this individual provider in the NPPES registry on May 24, 2010.

Where is Phil Ruckman located?

Phil Ruckman practices at 6405 Georgetown North Blvd, Fort Wayne, IN 46815. The listed phone number is (260) 485-0583.

What is Phil Ruckman's specialty?

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

When was this NPI record last updated?

The NPPES record for Phil Ruckman was last updated on May 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.