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

DR. RUSSELL ARON LIEBLICK, DMD

Active

DR. RUSSELL ARON LIEBLICK, DMD is a Oral & Maxillofacial Surgery healthcare provider located in GRESHAM, Oregon. NPI 1407856156 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · GRESHAM, OR

Registration Details

NPI Number
1407856156
Provider Type
Individual
Gender
Male
NPI Issued
Jul 22, 2005 (21.098320550255 yrs)
Last Updated
Jul 8, 2007
License
D8342 (OR)

Practice Information

Address
24850 SE STARK ST
SUITE 100
GRESHAM, OR, 970308316
Browse OR providers · Browse ZIP 97030
Phone
5036657882
Fax
5036656983
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X

Other Oral & Maxillofacial Surgery Providers in GRESHAM, OR

Name Credential NPI
DR. ERIK MANUEL RICHMOND DMD 1861604555
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.