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

RUSSELL T THALER, DMD,MS

Active Sole Proprietor

RUSSELL T THALER, DMD,MS is a Periodontology healthcare provider located in MAUMEE, Ohio. NPI 1215145693 is currently active in the NPPES registry. Verify at CMS.

Periodontology · MAUMEE, OH

Registration Details

NPI Number
1215145693
Provider Type
Individual
Gender
Male
NPI Issued
May 18, 2007 (19.230824275119 yrs)
Last Updated
Nov 30, 2011
License
30-023000 (OH)
Sole Proprietor
Yes

Practice Information

Address
5757 MONCLOVA RD
SUITE 12
MAUMEE, OH, 435371863
Browse OH providers · Browse ZIP 43537
Phone
4198930253
Primary Specialty
Periodontology
1223P0300X

Other Periodontology Providers in MAUMEE, OH

Name Credential NPI
DR. MICHAEL COHEN II 1417046707
DR. WILLIAM J. CARROLL D.D.S. 1851444202
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.