Susan J Russett-Collett in Gorham - Pediatric Dentistry
Susan J Russett-Collett - NPI 1083650436
Susan J Russett-Collett is a Pediatric Dentistry in Gorham, Maine. Susan J Russett-Collett practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Susan J Russett-Collett is 1083650436. The last update date is 2007-07-08.
Susan J Russett-Collett's current location address is 3 Ledge Hill Rd, Gorham, Maine. You can contact this provider via phone number 2078398149. The mailing address for Susan J Russett-Collett is 3 Ledge Hill Rd, Gorham, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan J Russett-Collett |
|---|---|
| Address | 3 Ledge Hill Rd, Gorham, Maine |
| Phone Number | 2078398149 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1083650436 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3 Ledge Hill Rd |
|---|---|
| City | Gorham |
| State | Maine (ME) |
| Post Code | 40382121 |
| Phone Number | 2078398149 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 3008 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Susan J Russett-Collett by the Centers for Medicare & Medicaid Services?
The Susan J Russett-Collett has been assigned the NPI (National Provider Identifier) 1083650436 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Susan J Russett-Collett?
The Susan J Russett-Collett is situated at 3 Ledge Hill Rd, in the city of Gorham, state of ME, with the zip code 40382121.
What is Susan J Russett-Collett's area of expertise and its corresponding taxonomy classification?
The Susan J Russett-Collett's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
On what date did the Susan J Russett-Collett receive the assignment of its 1083650436 from the Centers for Medicare & Medicaid Services?
The Susan J Russett-Collett was issued its 1083650436 by the Centers for Medicare & Medicaid Services on 2006-06-22.
As of what date were the details pertaining to Susan J Russett-Collett last refreshed?
The information related to the Susan J Russett-Collett, including its address, specialty, and other relevant details, was last updated on 2007-07-08.