person
Clinton Rutherford, DMD
Pediatric Dentist in Philadelphia, Pennsylvania
NPI 1740274174

Clinton Rutherford is a Pediatric Dentist based in Philadelphia, PA and is specialized in Pediatric Dentistry. Clinton Rutherford practices in Philadelphia, PA and has the professional credentials of DMD. The NPI Number for Clinton Rutherford is 1740274174 and holds a License No. DS035819 (Pennsylvania).

The current practice location address for Clinton Rutherford is 6404 Roosevelt Blvd, Philadelphia, PA and can be reached out via phone at 215-743-3700 and via fax at 215-743-3706. You can also correspond with Clinton Rutherford through the mailing address at 6404 ROOSEVELT BLVD, PHILADELPHIA, PA - 19149-2943 (mailing address contact number: 215-743-3700).

Location: 6404 Roosevelt Blvd, Philadelphia, PA, 19149-2943
person
Provider Profile Details
NPI Number
1740274174
Provider Name
Clinton Rutherford
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
6404 Roosevelt Blvd, Philadelphia, PA, 19149-2943
Phone Number
215-743-3700
Fax Number
215-743-3706
Provider Enumeration Date
08/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101136688 05 PA
institution
Provider Business Practice Location Address Details
Address
6404 Roosevelt Blvd
City
State
Zip
19149-2943
Phone Number
215-743-3700
Fax Number
215-743-3706
person
Provider Business Mailing Address Details
Address
6404 Roosevelt Blvd
City
State
Zip
19149-2943
Phone Number
215-743-3700
Fax Number
215-743-3706
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
DS035819 (Pennsylvania)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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