Russell DDS PC

General Practice Dentistry · Bremerton, WA

Organization Active NPI

NPI number 1104249465

Practice location

930 Park Ave
Bremerton, WA 98337-1551
Phone
(360) 377-7621
Fax
(360) 377-6265

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NPI record

NPI
1104249465
Entity type
Organization (Type 2)
Enumeration date
January 22, 2014
Last updated
January 22, 2014
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DE00009670 WA

Authorized official

Name
Dr. Nathan Gregory Russell, DDS
Title
Doctor/Owner
Phone
(360) 377-7621

Other names

  • Bremerton Dental

About Russell DDS PC

Russell DDS PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 930 Park Ave, Bremerton, WA 98337-1551. The NPI number 1104249465 was assigned on January 22, 2014 and the record was last updated on January 22, 2014.

Russell DDS PC lists a license in the registry: #DE00009670 (WA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Nathan Gregory Russell, DDS, Doctor/Owner.

Frequently asked questions

What is the NPI number of Russell DDS PC?

The NPI number is 1104249465.

What is the phone number of Russell DDS PC?

The phone number listed for the practice location is (360) 377-7621.

Where is Russell DDS PC located?

930 Park Ave, Bremerton, WA 98337-1551.

What is the taxonomy code for Russell DDS PC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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