DR. Russell Aron Lieblick, DMD is an oral and maxillofacial surgery dentist in Gresham, OR. 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. DR. Russell Aron Lieblick, DMD NPI is 1407856156. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
24850 SE STARK ST
SUITE 100
GRESHAM, OR
ZIP 97030-316
Phone: (503) 665-7882
Fax: (503) 665-6983
The NPI 1407856156 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 7/22/2005 and was last updated on 7/8/2007.