Individual provider · Type 1 NPI

Clayton Retherford, DMD

Dentist · Fort Wayne, IN

NPI number 1992639033 Active

Practice location

10215 Dupont Circle Dr W
Fort Wayne, IN 46825-1656

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X12015062A (IN)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1992639033

Clayton Retherford, DMD's National Provider Identifier is 1992639033, issued on Jun 12, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jun 12, 2026.