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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RUSSELL BORTNEM JR., DDS

Active Sole Proprietor

DR. RUSSELL BORTNEM JR., DDS is a General Dentistry healthcare provider located in KINGWOOD, Texas. NPI 1023106630 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · KINGWOOD, TX

Registration Details

NPI Number
1023106630
Provider Type
Individual
Gender
Male
NPI Issued
Oct 10, 2006 (19.659732074242 yrs)
Last Updated
Mar 18, 2013
License
15848 (TX)
Sole Proprietor
Yes

Practice Information

Address
3923 RUSTIC WOODS DR
SUITE A
KINGWOOD, TX, 773392611
Browse TX providers · Browse ZIP 77339
Phone
2813608400
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in KINGWOOD, TX

Name Credential NPI
DR. DEREK WADE SCOTT DDS 1952306169
DR. KEVIN THOMAS BURKE DDS 1710982582
PAUL WADE BOZZO D.D.S. 1447260625
DR. CHRIS EDWARD PERKINS D.D.S., P.A. 1427168012
JERRY W BAUTSCH DDS 1902993827
DR. MARY ELIZABETH BAJORK-MARBACH D.D.S. 1164511192
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.