SHARON RUSSELL DDS PC NPI 1114629334

NPI Information

  • NPI: 1114629334
  • Provider Name: SHARON RUSSELL DDS PC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 14300 GALLANT FOX LN STE 220
    BOWIE, MD
    ZIP 20715
  • Phone: (301) 967-0183

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NPI Details

SHARON RUSSELL DDS PC is an oral and maxillofacial surgery dentist in Bowie, MD. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. SHARON RUSSELL DDS PC NPI is 1114629334. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

14300 GALLANT FOX LN STE 220
BOWIE, MD
ZIP 20715-033
Phone: (301) 967-0183
Fax: (301) 576-5800

The provider's authorized official is Mark Russell .
The authorized official title is Operations Manager and has the following contact phone number (301) 967-0183.

The enumeration date for this NPI number is 3/21/2023 and was last updated on 3/21/2023.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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