RUSSELL MODERN DENTISTRY, PC is a general practice dentist in Portland, OR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. RUSSELL MODERN DENTISTRY, PC NPI is 1063173466. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
1710 NE 122ND AVE
PORTLAND, OR
ZIP 97230-939
Phone: (503) 295-2120
Fax: (503) 305-3342
The provider's authorized official is Sumeet S. Pandhoh .
The authorized official title is Owner and has the following contact phone number (503) 295-2120.
The enumeration date for this NPI number is 1/7/2022 and was last updated on 1/7/2022.