Ruslan Rusanov is a Rapid City, South Dakota based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Ruslan Rusanov is D1268 for Dentistry in South Dakota. His current practice location is 350 Pine St, Rapid City. Patients can reach him at 605-721-8939.
Ruslan Rusanov is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Ruslan Rusanov speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Ruslan Rusanov
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
350 Pine St, Rapid City, South Dakota, 57701-1669
Phone:
605-721-8939
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1255960613
NPI Enumeration Date:
07 Apr, 2020
NPI Last Update On:
17 May, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ruslan Rusanov are as mentioned below.
License Number
Specialization
State
Status
D1268
Dentistry
South Dakota
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Ruslan Rusanov such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
122300000X
Medicaid
South Dakota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
350 Pine St, Rapid City, South Dakota
Zip:
57701-1669
Phone Number:
605-721-8939
Patients can reach Ruslan Rusanov at 350 Pine St, Rapid City, South Dakota or can call to book an appointment on 605-721-8939. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.