Elisa Russell, DDS
Dentist · Moraga, CA
Practice location
1722 Saint Andrews DrMoraga, CA 94556-1033
- Phone
- (925) 818-0241
NPI record
- NPI
- 1366568859
- Entity type
- Individual (Type 1)
- Enumeration date
- March 22, 2007
- Last updated
- October 18, 2013
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
25276 | CA |
| General Practice Dentistry | 1223G0001X |
25276 | CA |
About Dr. Russell
Elisa Russell, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1722 Saint Andrews Dr, Moraga, CA 94556-1033. The NPI number 1366568859 was assigned on March 22, 2007 and the record was last updated on October 18, 2013.
Dr. Russell lists 2 licenses in the registry: #25276 (CA) for Dentist; #25276 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Elisa Russell, DDS?
The NPI number is 1366568859.
What is the phone number of Dr. Russell?
The phone number listed for the practice location is (925) 818-0241.
Where is Dr. Russell located?
1722 Saint Andrews Dr, Moraga, CA 94556-1033.
What is the taxonomy code for Dr. Russell?
The primary taxonomy code is 122300000X – Dentist; 1 more listed above.
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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