Provider Demographics
NPI:1780932418
Name:RUHLIG, DOROTHY MARIE (DDS)
Entity type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:MARIE
Last Name:RUHLIG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8031 MAIN ST STE 303
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:MI
Mailing Address - Zip Code:48130-1150
Mailing Address - Country:US
Mailing Address - Phone:734-426-9000
Mailing Address - Fax:
Practice Address - Street 1:8031 MAIN ST STE 303
Practice Address - Street 2:
Practice Address - City:DEXTER
Practice Address - State:MI
Practice Address - Zip Code:48130-1150
Practice Address - Country:US
Practice Address - Phone:734-426-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-28
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS039248122300000X
MI2901020641122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist