Debra Rutkowski
Dental Assistant
343 Warrior Road Building 2115
Fort Stewart
, Georgia 31314
Debra Rutkowski
Dental Assistant
343 Warrior Road Building 2115
Fort Stewart
, Georgia 31314
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Debra Rutkowski
- 343 Warrior Road Building 2115
- Fort Stewart, GA
- Zip : 31314
- Phone :
Second Address
- Debra Rutkowski
- 343 Warrior Road Building 2115
- Fort Stewart, GA
- Zip : 31314
- Phone : (912) 767-7841
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant |
National Provider Identifier
| NPI | 1013369685 |
|---|---|
| Provider Name | Debra Rutkowski |
| First Address | Fort Stewart, GA 31314 |
| Second Address | Fort Stewart, GA 31314 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2016 |
| Last Update Date | 07/07/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.