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CLINTON RUTHERFORD DMD
NPI 1740274174
Dentist - Pediatric Dentistry in Philadelphia, PA

Active since August 31, 2005
6404 ROOSEVELT BLVD, PHILADELPHIA, PA 19149(215) 743-3700(215) 743-3706 Get Directions Write a Review

NPPES record last updated: August 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clinton Rutherford Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINTON RUTHERFORD DMD (NPI 1740274174) is an individual pediatric dentistry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS035819) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1740274174
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameCLINTON RUTHERFORDCredential: DMD
Location Address6404 ROOSEVELT BLVDPhiladelphia, PA 19149-2943
Mailing Address6404 Roosevelt BlvdPhiladelphia, PA 19149-2943 · (215) 743-3700 · Fax (215) 743-3706
Phone(215) 743-3700
Fax(215) 743-3706
Sole ProprietorNo
Enumeration DateAugust 31, 2005
Last NPPES UpdateAugust 11, 2008
✔ NPI 1740274174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in PA · DS035819
Definition
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.
6404 ROOSEVELT BLVD, Philadelphia, PA 19149
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Other Identifiers 1

Medicaid101136688PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEDIATRIC DENTAL ASSOCIATES LTD
Dentist (Pediatric Dentistry)
6404 ROOSEVELT BLVD, LOWER LEVEL
PHILADELPHIA, PA 19149
Philadelphia County (215) 743-3700
LIFE REVIVAL LLC
Community/Behavioral Health
6404 ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Philadelphia County (267) 577-7747
DR. STEPHEN MICHAEL GAROFALO D.C.
Chiropractor
6404 ROOSEVELT BLVD, SUITE 1C
PHILADELPHIA, PA 19149
Philadelphia County (267) 788-1789
ABOLARIN LLC
Dentist (General Practice)
6404 ROOSEVELT BLVD, 2ND FLOOR
PHILADELPHIA, PA 19149
Philadelphia County (215) 831-1023
MICHAEL ROSENBAUM DMD
Dentist (Pediatric Dentistry)
6404 ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Philadelphia County (215) 743-3700
SASHA MANCHANDA
Dentist (Pediatric Dentistry)
6404 ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Philadelphia County (215) 743-3700
MARK GOLDSTEIN DDS
Dentist (Pediatric Dentistry)
6404 ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Philadelphia County (215) 743-3700
DR. PHILIP T. SIEGEL DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
6404 ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Philadelphia County (215) 743-3700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinton Rutherford's NPI number?

The NPI number for Clinton Rutherford is 1740274174. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Where is Clinton Rutherford located?

Clinton Rutherford practices at 6404 Roosevelt Blvd, Philadelphia, PA 19149. The listed phone number is (215) 743-3700.

What is Clinton Rutherford's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Clinton Rutherford accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Clinton Rutherford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clinton Rutherford was last updated on August 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.