Healthcare Provider Details

I. General information

NPI: 1609855188
Provider Name (Legal Business Name): CAREN CAREY RUHT DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2006
Last Update Date: 04/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

744 N 19TH ST
ALLENTOWN PA
18104-4041
US

IV. Provider business mailing address

744 N 19TH ST
ALLENTOWN PA
18104-4041
US

V. Phone/Fax

Practice location:
  • Phone: 610-776-7770
  • Fax: 610-776-6953
Mailing address:
  • Phone: 610-776-7770
  • Fax: 610-776-6953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License NumberDS021582L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: