Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STACEY W RUSSELL, DDS
ActiveDR. STACEY W RUSSELL, DDS is a General Dentistry healthcare provider located in SEVERNA PARK, Maryland. NPI 1811267487 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SEVERNA PARK, MD
Registration Details
- NPI Number
- 1811267487
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 12, 2012 (14.599206271482 yrs)
- Last Updated
- Jan 12, 2012
- License
-
11897 (MD)
Practice Information
- Address
-
22 TRUCK HOUSE RD STE 3SEVERNA PARK, MD, 211462728Browse MD providers · Browse ZIP 21146
- Phone
- 4106474269
- Fax
- 4105445910
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SEVERNA PARK, MD
| Name | Credential | NPI |
|---|---|---|
| LAWRENCE P HAND | DDS | 1922049196 |
| DR. JEFFREY P CRANSKA | DDS | 1144338377 |
| DR. VALERIE LYNN MORGAN-PHILBIN | D.D.S. | 1013007954 |
| DAVID RUSH DEITRICK | DDS | 1013093343 |
| PAUL J KINSEY | DDS | 1952469488 |
| DR. ROBERT O'BRIEN | — | 1467504126 |
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.