Candace Susan Ruff, BS, DMD
Individual provider Active NPI General Practice Dentistry · Homer Glen, IL
NPI 1104473966 · NPPES record last updated Aug 26, 2019
Key facts
- NPI
- 1104473966
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 019032365 (IL)
- Practice address
- 14403 S Bell Rd
Homer Glen, IL 60491-7881 - Phone
- (708) 966-4018
- NPI assigned
- Aug 26, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 31, 2021 through Aug 31, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019032365 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashton Dental PC | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019032365 | IL | Yes |
Addresses
Primary practice location
14403 S Bell Rd
Homer Glen, IL 60491-7881
Mailing address
14403 S Bell Rd
Homer Glen, IL 60491-7881
Other practice location 1
2503 N Halsted St
Chicago, IL 60614-3522
Phone (773) 386-2503
Other providers in Homer Glen, IL
- Rommel Rosaldo
- Rosin Optical Co. Inc.
- Anthony Rossi
- Nina K Rossi
- Corie Royland Rowe
- Rose Cecilia Rybka
- Marram Salman
- Belinda Sanchez
- Sara E Knight, PC
- Amanda Louise Sawilchik
All providers in Homer Glen, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.