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

Ruslan Fomenko, DMD

Individual provider General Practice Dentistry · NPI 1548002256

Ruslan Fomenko, DMD is a General Practice Dentistry in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2024.

Licensed in
MI
In the registry since
2024
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

2815 Garfield Rd N
Traverse City, MI 49686-5005
Phone: (231) 947-4380
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2901602281 (MI)

Record details

NPI number1548002256
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 12, 2024
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024
Mailing address2815 Garfield Rd N, Traverse City, MI 49686-5005

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