NPI 1154469740

Michael Thomas Ruetty, DDS

Practitioner General Practice Dentistry South Portland, ME

Practice location

Address: 25 Long Creek Dr, South Portland, ME 04106-2440
Phone: (207) 775-2072

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 3184 (ME)

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Registry record

NPI: 1154469740
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.