RUSSELL FAMILY DENTISTRY LLC NPI 1659449940

NPI Information

RUSSELL FAMILY DENTISTRY LLC is a general practice dentist in Portland, ME. 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 FAMILY DENTISTRY LLC NPI is 1659449940. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Regan & Russell Llc.

The provider's business location address is:

495 WOODFORD STREET
PORTLAND, ME
ZIP 04103
Phone: (207) 772-6966
Fax: (207) 761-0756

The provider's authorized official is Keith Edmund Russell .
The authorized official title is Member/dentist and has the following contact phone number (207) 772-6966.

The enumeration date for this NPI number is 12/3/2006 and was last updated on 5/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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