Provider Demographics
NPI:1639062482
Name:RUFFINO, FRANK PAUL IV (DDS)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:PAUL
Last Name:RUFFINO
Suffix:IV
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 1:5603 BRADBURY RUN
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48094-1065
Mailing Address - Country:US
Mailing Address - Phone:586-531-3180
Mailing Address - Fax:
Practice Address - Street 1:51333 MOUND RD
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48316-4344
Practice Address - Country:US
Practice Address - Phone:586-799-4240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29016025131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice