DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CLINTON RUTHERFORD DMD

MEDICARE: CLINTON RUTHERFORD DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0221XPediatric DentistryDS035819PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740274174
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLINTON RUTHERFORD DMD
Provider Business Mailing Address
First Line : 6404 ROOSEVELT BLVD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19149-2943
Country : US
Telephone Number : 215-743-3700
Fax Number : 215-743-3706
Provider Business Practice Location Address
First Line : 6404 ROOSEVELT BLVD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19149-2943
Country : US
Telephone Number : 215-743-3700
Fax Number : 215-743-3706
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 08/11/2008

Similar Medicare Providers

1104810530 — MICHAEL ROSENBAUM DMD
Practice Location Address:
6404 ROOSEVELT BLVD
PHILADELPHIA, PA
19149-2943
Practice Phone: 215-743-3700
Practice Fax: 215-743-3706
1386638716 — ALEGRIA DAGOSTINO DMD
Practice Location Address:
6404 ROOSEVELT BLVD
PHILADELPHIA, PA
19149-2943
Practice Phone: 215-743-3700
Practice Fax: 215-743-3706
1164416525 — SHARON K HAMILTON DMD
Practice Location Address:
6404 ROOSEVELT BLVD
PHILADELPHIA, PA
19149-2943
Practice Phone: 215-743-3700
Practice Fax: 215-743-3706
1144214511 — MARK GOLDSTEIN DDS
Practice Location Address:
6404 ROOSEVELT BLVD
PHILADELPHIA, PA
19149-2943
Practice Phone: 215-743-3700
Practice Fax: 215-743-3706
1285628040 — KIMBERLY THOMAS DMD
Practice Location Address:
6404 ROOSEVELT BLVD
PHILADELPHIA, PA
19149-2943
Practice Phone: 215-743-3700
Practice Fax: 215-743-3706
1164402004 — DR. PHILIP T. SIEGEL DDS
Practice Location Address:
6404 ROOSEVELT BLVD
PHILADELPHIA, PA
19149-2943
Practice Phone: 215-743-3700
Practice Fax: 215-743-3706

Directions to “ CLINTON RUTHERFORD DMD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.