Individual provider · Type 1 NPI

Clinton Rutherford, DMD

Pediatric Dentistry · Philadelphia, PA

NPI number 1740274174 Active

Practice location

6404 Roosevelt Blvd
Philadelphia, PA 19149-2943

Call (215) 743-3700 Map

Fax (215) 743-3706

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDS035819 (PA)

Pediatric Dentistry: 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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About NPI 1740274174

Clinton Rutherford, DMD's National Provider Identifier is 1740274174, issued on Aug 31, 2005. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 11, 2008.