Carissa L Russell in Othello - Dental Hygienist
Carissa L Russell - NPI 1750507166
Carissa L Russell is a Dental Hygienist in Othello, Washington. Carissa L Russell practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Carissa L Russell is 1750507166. The last update date is 2007-07-08.
Carissa L Russell's current location address is 140 E Main Street, Othello, Washington. You can contact this provider via phone number 5094885256 and fax number 5094889939. The mailing address for Carissa L Russell is 140 E Main Street, Othello, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Carissa L Russell |
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Address | 140 E Main Street, Othello, Washington |
Phone Number | 5094885256 |
Fax Number | 5094889939 |
Sole Proprietor | N |
Credentials | RDH |
NPI Number Detail
NPI Number | 1750507166 |
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Provider Enumeration Date | 2007-04-17 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 140 E Main Street |
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City | Othello |
State | Washington (WA) |
Post Code | 99344 |
Phone Number | 5094885256 |
Fax Number | 5094889939 |
Provider's Primary Taxonomy Detail
Speciality | Dental Hygienist |
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Taxonomy | 124Q00000X |
Licence No | DH00006949 |
Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
Post Comment/ Review Below
What is the unique identifier code issued to Carissa L Russell by the Centers for Medicare & Medicaid Services?
The Carissa L Russell has been assigned the NPI (National Provider Identifier) 1750507166. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Carissa L Russell is physically located?
The Carissa L Russell is physically situated at the following address: 140 E Main Street, Othello, WA, 99344.
What is Carissa L Russell's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Carissa L Russell is Dental Hygienist, and the taxonomy classification code that categorizes this area of expertise is 124Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1750507166 to Carissa L Russell?
The Centers for Medicare & Medicaid Services originally issued the 1750507166 to Carissa L Russell on 2007-04-17.
When was the information regarding Carissa L Russell most recently updated?
The details pertaining to the Carissa L Russell, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.