Jack W. Ruby, DDS

General Practice Dentistry · Oak Lawn, IL

Individual Active NPI

NPI number 1700901196

Practice location

6735 W 95TH St
Oak Lawn, IL 60453-2112
Phone
(708) 598-0717
Fax
(708) 598-0813

Open in Google Maps

NPI record

NPI
1700901196
Entity type
Individual (Type 1)
Enumeration date
March 21, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 19A13445 IL

About Dr. Ruby

Jack W. Ruby, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 6735 W 95TH St, Oak Lawn, IL 60453-2112. The NPI number 1700901196 was assigned on March 21, 2007 and the record was last updated on July 8, 2007.

Dr. Ruby lists a license in the registry: #19A13445 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jack W. Ruby, DDS?

The NPI number is 1700901196.

What is the phone number of Dr. Ruby?

The phone number listed for the practice location is (708) 598-0717.

Where is Dr. Ruby located?

6735 W 95TH St, Oak Lawn, IL 60453-2112.

What is the taxonomy code for Dr. Ruby?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Oak Lawn

All General Practice Dentistry providers in Oak Lawn, IL →