Provider Demographics
NPI:1609855188
Name:RUHT, CAREN CAREY (DMD)
Entity Type:Individual
Prefix:DR
First Name:CAREN
Middle Name:CAREY
Last Name:RUHT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 N 19TH ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-4041
Mailing Address - Country:US
Mailing Address - Phone:610-776-7770
Mailing Address - Fax:610-776-6953
Practice Address - Street 1:744 N 19TH ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-4041
Practice Address - Country:US
Practice Address - Phone:610-776-7770
Practice Address - Fax:610-776-6953
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-12
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021582L1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics