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

DR. ERIC GORDON RUSSELL, DDS

Active Sole Proprietor

DR. ERIC GORDON RUSSELL, DDS is a General Dentistry healthcare provider located in SALT LAKE CITY, Utah. NPI 1558852269 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · SALT LAKE CITY, UT

Registration Details

NPI Number: 1558852269
Provider Type: Individual
Gender: Male
NPI Issued: May 29, 2018 (8.2096290217764 yrs)
Last Updated: May 29, 2018
License: 7301384-9922 (UT)
Sole Proprietor: Yes

Practice Information

Address: 4465 S 900 E STE 100

SALT LAKE CITY, UT, 841242695
Browse UT providers · Browse ZIP 84124
Phone: 8012810100
Primary Specialty: General Dentistry
1223G0001X

Other General Dentistry Providers in SALT LAKE CITY, UT

Name	Credential	NPI
DR. DENNY N CHO	DDS	1609879972
RICHARD JOSEPH HAULEY JR.	DMD	1891799201
DR. THOMAS F. BRICKEY	D.M.D.	1184623480
DR. MARK SPANGLER WALLACE	DDS	1669467213
DR. GREGORY WALLACE GATRELL	D.D.S.	1912977752
DR. SCOTT RAYMOND STEIN	D.D.S.	1154380772

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.