Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Logan Davis Rutch, DMD, MMS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366021040

Dr. Logan Davis Rutch, DMD, MMS is a Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2021.

Licensed in
PA
In the registry since
2021
Specialties on file
2
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Philadelphia, PA

No coordinates on file. Search this address in Google Maps

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS043311 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366021040
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MMS
Sole proprietorNo
NPI enumeratedApril 7, 2021
Last updated in NPPESJuly 19, 2022
Certification dateJuly 19, 2022

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