Russell Bortnem in Kingwood - General Practice
Russell Bortnem - NPI 1023106630
Russell Bortnem is a General Practice in Kingwood, Texas. Russell Bortnem practices all healthcare services and medical treatments related to General Practice. The NPI Number for Russell Bortnem is 1023106630. The last update date is 2013-03-18.
Russell Bortnem's current location address is 3923 Rustic Woods Dr, Kingwood, Texas. You can contact this provider via phone number 2813608400. The mailing address for Russell Bortnem is 3923 Rustic Woods Dr, Kingwood, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Bortnem |
|---|---|
| Address | 3923 Rustic Woods Dr, Kingwood, Texas |
| Phone Number | 2813608400 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1023106630 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2013-03-18 |
Provider Mailing Address Detail
| Address | 3923 Rustic Woods Dr |
|---|---|
| City | Kingwood |
| State | Texas (TX) |
| Post Code | 773392611 |
| Phone Number | 2813608400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 15848 |
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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 provider identifier assigned to Russell Bortnem?
The Russell Bortnem has been issued the NPI (National Provider Identifier) 1023106630 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Russell Bortnem's physical address?
The Russell Bortnem is physically located at 3923 Rustic Woods Dr, in the city of Kingwood, TX, with the postal code 773392611.
What is the Russell Bortnem's specialty and taxonomy code?
The Russell Bortnem's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1023106630 to Russell Bortnem?
The Russell Bortnem received its 1023106630 assignment from the Centers for Medicare & Medicaid Services on 2006-10-10.
When was the information pertaining to Russell Bortnem most recently updated or revised?
The details related to Russell Bortnem, including its address, specialty, and other relevant information, were last updated or revised on 2013-03-18.