Provider Demographics
NPI:1356533277
Name:RUNNING, CLIFFORD H (DDS)
Entity type:Individual
Prefix:
First Name:CLIFFORD
Middle Name:H
Last Name:RUNNING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3326 N 3RD AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-4321
Mailing Address - Country:US
Mailing Address - Phone:602-277-6891
Mailing Address - Fax:480-234-2409
Practice Address - Street 1:3326 N 3RD AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-4321
Practice Address - Country:US
Practice Address - Phone:602-277-6891
Practice Address - Fax:480-234-2409
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ11861223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ1186OtherSTATE LICENSE