# FREDERICK RUTHERFORD, D.D.S., INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508283227
- **Authorized official:** DR. FREDERICK RUTHERFORD D.D.S. (CEO)
- **Authorized official phone:** (323) 937-0450

## Contact information

- **Practice address:** 9515 CULVER BLVD., SUITE 200, CULVER CITY, CA 90323
- **Practice address phone:** (323) 937-0450
- **Mailing address:** PO BOX 5174, CULVER CITY, CA 90231-5174
- **Mailing address phone:** (323) 937-0450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 31174 | CA | Yes |

## Other

- **Enumeration date:** 03/19/2014
- **Last updated:** 03/19/2014