Keith Edmund Russell in Portland - Dentist
Keith Edmund Russell - NPI 1447328752
Keith Edmund Russell is a Dentist in Portland, Maine. Keith Edmund Russell practices all healthcare services and medical treatments related to Dentist. The NPI Number for Keith Edmund Russell is 1447328752. The last update date is 2023-03-20.
Keith Edmund Russell's current location address is 495 Woodford St, Portland, Maine. You can contact this provider via phone number 2077726966. The mailing address for Keith Edmund Russell is 495 Woodford St, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Edmund Russell |
|---|---|
| Address | 495 Woodford St, Portland, Maine |
| Phone Number | 2077726966 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1447328752 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2023-03-20 |
Provider Mailing Address Detail
| Address | 495 Woodford St |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41032438 |
| Phone Number | 2077726966 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 3414 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 264030099 | ME | -- | |
| 43377401 | ME | INDIVIDUAL TAX ID # |
Post Comment/ Review Below
What is the Keith Edmund Russell's unique identification number?
The Keith Edmund Russell has been assigned the NPI (National Provider Identifier) Number 1447328752 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Keith Edmund Russell?
The Keith Edmund Russell is situated at 495 Woodford St, in the city of Portland, state of ME, with the zip code 41032438.
What is the Keith Edmund Russell's area of specialization and corresponding taxonomy classification?
The Keith Edmund Russell's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When did the Keith Edmund Russell receive its 1447328752?
The Keith Edmund Russell was issued its 1447328752 on 2006-12-04, which is the date when the organization was assigned this unique identifier.
When was the Keith Edmund Russell's information last updated?
The Keith Edmund Russell's information was last updated on 2023-03-20.
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