Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN T RUSSELL, DMD
ActiveBENJAMIN T RUSSELL, DMD is a Periodontology healthcare provider located in GRESHAM, Oregon. NPI 1922168343 is currently active in the NPPES registry. Verify at CMS.
Periodontology · GRESHAM, OR
Registration Details
- NPI Number
- 1922168343
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 8, 2006 (19.717324814843 yrs)
- Last Updated
- Jul 17, 2019
- License
-
D8729 (OR)
Practice Information
- Address
-
742 NE DIVISION ST STE 102GRESHAM, OR, 970303979Browse OR providers · Browse ZIP 97030
- Phone
- 5036672442
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in GRESHAM, OR
| Name | Credential | NPI |
|---|---|---|
| DR. GERALD JOSEPH PAPADOR | DDS | 1598763427 |
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.