IndividualActive
Ruslan Fomenko, DMD
NPI 1548002256 · General Practice Dentistry · Traverse City, MI
Ruslan Fomenko, DMD is a General Practice Dentistry provider in Traverse City, MI (NPI 1548002256).
Provider details
- NPI number
- 1548002256
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 2901602281 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2815 Garfield Rd N
Traverse City, MI 49686-5005
Phone: (231) 947-4380
Street-level locationGet directions
Mailing address
2815 Garfield Rd N
Traverse City, MI 49686-5005
Registry dates
- Enumerated
- 2024-06-12
- Last updated
- 2024-06-12
- Certified
- 2024-06-12
Frequently asked questions
- What is Ruslan Fomenko's NPI number?
- Ruslan Fomenko's National Provider Identifier (NPI) is 1548002256, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ruslan Fomenko's specialty?
- Ruslan Fomenko is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Ruslan Fomenko located?
- Ruslan Fomenko's practice location on file with NPPES is 2815 Garfield Rd N, Traverse City, MI 49686-5005.
- What is Ruslan Fomenko's phone number?
- The practice phone number listed in the NPPES registry for Ruslan Fomenko is (231) 947-4380.
- Is Ruslan Fomenko's NPI active?
- Yes — Ruslan Fomenko's NPI (1548002256) is active in the NPPES registry as of the last update on 2024-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.