Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL J COLLETT, DDS
Active Sole ProprietorRUSSELL J COLLETT, DDS is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in PORTLAND, Maine. NPI 1629173711 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · PORTLAND, ME
Registration Details
- NPI Number
- 1629173711
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2006 (19.883647173602 yrs)
- Last Updated
- Mar 17, 2018
- Licenses
-
3009 (ME)3009 (ME)3009 (ME)3009 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1601 CONGRESS STREETPORTLAND, ME, 04102Browse ME providers · Browse ZIP 04102
- Phone
- 2077728055
- Fax
- 2077728752
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- Oral & Maxillofacial Pathology
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
Other Oral & Maxillofacial Surgery (Physician) Providers in PORTLAND, ME
| Name | Credential | NPI |
|---|---|---|
| DR. ELIZAVETA V ZVIAGUIN | DDS, MD | 1104142470 |
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.