Elisa Russell is a General Practice in Moraga, California. Elisa Russell practices all healthcare services and medical treatments related to General Practice. The NPI Number for Elisa Russell is 1366568859. The last update date is 2013-10-18.
Elisa Russell's current location address is 1722 Saint Andrews Dr, Moraga, California. You can contact this provider via phone number 9258180241. The mailing address for Elisa Russell is 1722 Saint Andrews Dr, Moraga, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elisa Russell |
|---|---|
| Address | 1722 Saint Andrews Dr, Moraga, California |
| Phone Number | 9258180241 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1366568859 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2013-10-18 |
Provider Mailing Address Detail
| Address | 1722 Saint Andrews Dr |
|---|---|
| City | Moraga |
| State | California (CA) |
| Post Code | 945561033 |
| Phone Number | 9258180241 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 25276 |
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Definition: 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. |
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What is the unique 10-digit identifier code assigned to Elisa Russell by the Centers for Medicare & Medicaid Services?
The Elisa Russell has been issued the NPI (National Provider Identifier) 1366568859 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Elisa Russell?
The Elisa Russell is physically situated at 1722 Saint Andrews Dr, in the city of Moraga, state of CA, with the postal code 945561033.
What is Elisa Russell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Elisa Russell's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
When was the Elisa Russell's 1366568859 issued?
The Elisa Russell's 1366568859 was issued on 2007-03-22.
As of what date was the information regarding Elisa Russell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Elisa Russell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-10-18.
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