IndividualActive
Andrea Ruby, D.M.D.
NPI 1013202084 · Dentist · St Louis Park, MN
Provider details
- NPI number
- 1013202084
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- D12985 (MN)
Specialties & taxonomies
Dental Providers
Practice location
3345 Dakota Ave S
St Louis Park, MN 55416-2039
Phone: (952) 929-9450
Approximate (ZIP-level) locationGet directions
Mailing address
3345 Dakota Ave S
St Louis Park, MN 55416-2039
Registry dates
- Enumerated
- 2011-06-17
- Last updated
- 2012-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.