Rucker, Jonathan Wade
Rucker, Jonathan Wade is an individual health care provider with primary practice located at 31560 Rancho Pueblo Rd 201, Temecula CA 92592-4858. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Rucker, Jonathan Wade can be contacted via phone (951) 302-0685.Contact Information
Primary practice address
31560 Rancho Pueblo Rd 201
Temecula CA 92592-4858
Phone: (951) 302-0685
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 62059 | California |
Profile Details
| NPI number | 1124308770 |
|---|---|
| LBN Legal business name | Rucker, Jonathan Wade |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2011 |
| Last updated | May 31st, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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