Clinton Rutherford is a Philadelphia, Pennsylvania based Pediatric Dentist who is specialized in Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Clinton Rutherford is DS035819 for Pediatric Dentistry in Pennsylvania. His current practice location is 6404 Roosevelt Blvd, Philadelphia. Patients can reach him at 215-743-3700.
Clinton Rutherford provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Clinton Rutherford speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1740274174
NPI Enumeration Date:
31 Aug, 2005
NPI Last Update On:
11 Aug, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Clinton Rutherford are as mentioned below.
License Number
Specialization
State
Status
DS035819
Pediatric Dentistry
Pennsylvania
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Clinton Rutherford such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
101136688
Medicaid
Pennsylvania
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6404 Roosevelt Blvd, Philadelphia, Pennsylvania
Zip:
19149-2943
Phone Number:
215-743-3700
Fax Number:
215-743-3706
Patients can reach Clinton Rutherford at 6404 Roosevelt Blvd, Philadelphia, Pennsylvania or can call to book an appointment on 215-743-3700. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.