Active NPI
Ruby Dental, LLC
- General Practice Dentistry
- Wilmington, DE
National Provider Identifier
1386230100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- RUBY DENTAL, LLC
- Practice address
- 25 Milltown Road
Attn: TJ Hammer
Wilmington, DE 19808 - Phone
- (302) 299-5617
- NPI assigned
- Dec 16, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ryan P Robinson, DDS
- Title
- Owner
- Phone
- (302) 299-5617
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Dental Clinic/Center | 261QD0000X |
Addresses
Primary practice location
25 Milltown Road
Attn: TJ Hammer
Wilmington, DE 19808
Mailing address
25 Milltown Rd
Wilmington, DE 19808-3107
Phone (302) 299-5617
Other names 1
- Gawlas Family Dental
National Provider Directory
National Provider DirectoryLocations
25 Milltown Rd
Wilmington, DE 19808
Phone (302) 299-5617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663804800000",
"number": "1386230100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 MILLTOWN RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198083107",
"telephone_number": "302-299-5617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 MILLTOWN ROAD",
"address_2": "ATTN: TJ HAMMER",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19808",
"telephone_number": "302-299-5617"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUBY DENTAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-16",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "RYAN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "302-299-5617",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gawlas Family Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.