Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GREGORY SCOTT RUSSELL, DMD
Active Sole ProprietorDR. GREGORY SCOTT RUSSELL, DMD is a Endodontics healthcare provider located in BERLIN, Maryland. NPI 1760452890 is currently active in the NPPES registry. Verify at CMS.
Endodontics · BERLIN, MD
Registration Details
- NPI Number
- 1760452890
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 23, 2006 (20.572833918766 yrs)
- Last Updated
- Dec 23, 2014
- License
-
13423 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11200 RACETRACK RD STE 204BERLIN, MD, 218113808Browse MD providers · Browse ZIP 21811
- Phone
- 4102083333
- Fax
- 4102083330
- Primary Specialty
-
Endodontics
1223E0200X
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.