Provider Demographics
NPI:1033550751
Name:LOCKWOOD, DANIELLE RUHT (DMD)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:RUHT
Last Name:LOCKWOOD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:DANIELLE
Other - Middle Name:CAREY
Other - Last Name:RUHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:237 ELM DR
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-2637
Mailing Address - Country:US
Mailing Address - Phone:610-442-0640
Mailing Address - Fax:
Practice Address - Street 1:237 ELM DR
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-2637
Practice Address - Country:US
Practice Address - Phone:610-442-0640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-10
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0396031223P0221X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry