Individual
DR. CLAYTON RETHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10215 DUPONT CIRCLE DR W, FORT WAYNE, IN 46825-1656
(317) 800-8747
Mailing address
10215 DUPONT CIRCLE DR W, FORT WAYNE, IN 46825-1656
(317) 800-8747
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12015062A
IN
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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