Provider Demographics
NPI:1548933922
Name:RULE, SCOTT RONALD (DDS)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:RONALD
Last Name:RULE
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 1:6475 WASHINGTON ST STE 101
Mailing Address - Street 2:
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-4404
Mailing Address - Country:US
Mailing Address - Phone:847-662-7717
Mailing Address - Fax:847-662-7790
Practice Address - Street 1:6475 WASHINGTON ST STE 101
Practice Address - Street 2:
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-4404
Practice Address - Country:US
Practice Address - Phone:847-662-7717
Practice Address - Fax:847-662-7790
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0333561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice