Rutherford, Grant Russell

Rutherford, Grant Russell is an individual health care provider with primary practice located at Naval Hospital Camp Pendleton 200 Mercy Circle, Oceanside CA 92055. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Rutherford, Grant Russell can be contacted via phone (760) 763-7242.

Contact Information

Primary practice address
Naval Hospital Camp Pendleton 200 Mercy Circle Oceanside CA 92055
Phone: (760) 763-7242
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 10238 Colorado
Dental Providers / Endodontics 1223E0200X 108827 California

Profile Details

NPI number 1780990168
LBN Legal business name Rutherford, Grant Russell
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2010
Last updated Apr 11th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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