Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clinton Rutherford, DMD

Individual provider Pediatric Dentistry · NPI 1740274174

Clinton Rutherford, DMD is a Pediatric Dentistry in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2005.

Licensed in
PA
In the registry since
2005
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

6404 Roosevelt Blvd
Philadelphia, PA 19149-2943
Phone: (215) 743-3700
Fax: (215) 743-3706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DS035819 (PA)

Record details

NPI number1740274174
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 31, 2005
Last updated in NPPESAugust 11, 2008

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