Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shane Ruggless, DMD

Individual provider General Practice Dentistry · NPI 1659636785

Dr. Shane Ruggless, DMD is a General Practice Dentistry in Auburn, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

500 E Jackson St
Auburn, IL 62615-9787
Phone: (217) 438-3721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019.029024 (IL)

Record details

NPI number1659636785
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 4, 2012
Last updated in NPPESJuly 4, 2012
Mailing address500 E Jackson St, Auburn, IL 62615-9787

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