Dr. Brendan Patrick Ruby, DDS
Dentist, Dentist Anesthesiologist Speciality in Stratford, CT. Individual provider (NPI-1).
NPI number1215463575
StatusActive
Last updated in NPPESJul 25, 2025
Details
- NPI
- 1215463575
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brendan Patrick Ruby
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 5, 2017
- Certification date
- Jul 25, 2025
- Last updated
- Jul 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223D0004X | Dentist, Dentist Anesthesiologist Speciality | 11877 | CT | Yes |
| 122300000X | Dentist | 11877 | CT | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
756b Quinnipiac LnStratford, CT 06614-8339
Phone 203-915-4993
Mailing address
756b Quinnipiac LnStratford, CT 06614-8339
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