Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PHILIP HOSTAGE RUSSELL, D.M.D.
Active Sole ProprietorDR. PHILIP HOSTAGE RUSSELL, D.M.D. is a General Dentistry healthcare provider located in MANCHESTER, Vermont. NPI 1861526568 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MANCHESTER, VT
Registration Details
- NPI Number
- 1861526568
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 15, 2007 (19.431765700859 yrs)
- Last Updated
- Jul 8, 2007
- License
-
016-0000760 (VT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4313 MAIN ST.MANCHESTER, VT, 05254Browse VT providers · Browse ZIP 05254
- Phone
- 8023622151
- Primary Specialty
-
General Dentistry
1223G0001X
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.