Provider Demographics
NPI:1427770999
Name:ELEANOR RUHLAND DENTAL PLLC
Entity type:Organization
Organization Name:ELEANOR RUHLAND DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER, DNETIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ELEANOR
Authorized Official - Middle Name:NOEL
Authorized Official - Last Name:RUHLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:716-400-2578
Mailing Address - Street 1:3636 GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-3544
Mailing Address - Country:US
Mailing Address - Phone:716-632-9410
Mailing Address - Fax:716-632-0954
Practice Address - Street 1:3636 GENESEE ST
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-3544
Practice Address - Country:US
Practice Address - Phone:716-632-9410
Practice Address - Fax:716-632-0954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty