Provider Demographics
NPI:1336590967
Name:RUTFORD, HAYLEY (RDH)
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:
Last Name:RUTFORD
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:HAYLEY
Other - Middle Name:
Other - Last Name:LOTAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:904 COPPER DR
Mailing Address - Street 2:
Mailing Address - City:LEADVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80461-3713
Mailing Address - Country:US
Mailing Address - Phone:303-908-3381
Mailing Address - Fax:
Practice Address - Street 1:360 PEAK ONE DR STE 325
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:CO
Practice Address - Zip Code:80443-5948
Practice Address - Country:US
Practice Address - Phone:970-668-4040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-24
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist