Individual provider · Type 1 NPI

Russell C. Teasdale, DMD

General Practice Dentistry · Portland, OR

NPI number 1083614689 Active

Practice location

1316 SW 13th Avenue
Portland, OR 97201

Call (503) 235-0555 Map

Fax (503) 224-5726

Mailing address

1316 SW 13th Ave
Portland, OR 97201-3355

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X5751 (OR)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1083614689

Russell C. Teasdale, DMD's National Provider Identifier is 1083614689, issued on Jul 26, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, OR. The record was last updated on Jun 13, 2023.