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FREDERICK RUTHERFORD D.D.S. INC. NPI 1508283227


NPI Information

NPI: 1508283227
Provider Name: FREDERICK RUTHERFORD, D.D.S., INC.
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
9515 CULVER BLVD.
SUITE 200
CULVER CITY, CA
ZIP 90323
Phone: (323) 937-0450
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FREDERICK RUTHERFORD, D.D.S., INC. is an oral and maxillofacial surgery dentist in Culver City, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. FREDERICK RUTHERFORD, D.D.S., INC. NPI is 1508283227. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9515 CULVER BLVD.
SUITE 200
CULVER CITY, CA
ZIP 90323
Phone: (323) 937-0450

The provider's authorized official is Frederick Rutherford .
The authorized official title is Ceo and has the following contact phone number (323) 937-0450.

The enumeration date for this NPI number is 3/19/2014 and was last updated on 3/19/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery31174CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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