Provider Demographics
NPI:1861164717
Name:DANIELLE R. RUSKIN DDS PLLC
Entity type:Organization
Organization Name:DANIELLE R. RUSKIN DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:LYNCH
Authorized Official - Last Name:LAMERATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-446-0288
Mailing Address - Street 1:30426 MILFORD RD
Mailing Address - Street 2:
Mailing Address - City:NEW HUDSON
Mailing Address - State:MI
Mailing Address - Zip Code:48165-8583
Mailing Address - Country:US
Mailing Address - Phone:248-446-0288
Mailing Address - Fax:248-446-5257
Practice Address - Street 1:30426 MILFORD RD
Practice Address - Street 2:
Practice Address - City:NEW HUDSON
Practice Address - State:MI
Practice Address - Zip Code:48165-8583
Practice Address - Country:US
Practice Address - Phone:248-446-0288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-29
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental