Provider Demographics
NPI:1699984856
Name:RUEHLE, PATRICK R (DDS)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:R
Last Name:RUEHLE
Suffix:
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 1:3312 TEASLEY LN
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210
Mailing Address - Country:US
Mailing Address - Phone:940-566-4888
Mailing Address - Fax:940-566-2250
Practice Address - Street 1:3312 TEASLEY LN
Practice Address - Street 2:SUITE 200
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210
Practice Address - Country:US
Practice Address - Phone:940-566-4888
Practice Address - Fax:940-566-2250
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX138021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice