Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELISA RUSSELL, DDS
ActiveDR. ELISA RUSSELL, DDS is a Dentist healthcare provider located in MORAGA, California. NPI 1366568859 is currently active in the NPPES registry. Verify at CMS.
Dentist · MORAGA, CA
Registration Details
- NPI Number
- 1366568859
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 22, 2007 (19.2532762554 yrs)
- Last Updated
- Oct 18, 2013
- Licenses
-
25276 (CA)25276 (CA)
Practice Information
- Address
-
1722 SAINT ANDREWS DRMORAGA, CA, 945561033Browse CA providers · Browse ZIP 94556
- Phone
- 9258180241
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- General Dentistry
Other Dentist Providers in MORAGA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. NORMAN J HANSON | D.D.S. | 1063567485 |
| DR. KIAN TAVALLAEI | DDS | 1013205301 |
| JOSEPH ZINGALE | DDS | 1477916211 |
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.