Individual
JOHN C RUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
602 MAIN ST, PORT JEFFERSON, NY 11777-2203
(631) 473-1511
(631) 473-0605
Mailing address
6 CHESTNUT HILL RD, ROCKY POINT, NY 11778-9110
(631) 473-1511
(631) 473-0605
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33761
NY
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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