Individual provider · Type 1 NPI

Susan J. Russett-Collett, DDS

Pediatric Dentistry · Portland, ME

NPI number 1083650436 Active

Practice location

888 Brighton Ave
Portland, ME 04102-1004

Mailing address

3 Ledge Hill Rd
Gorham, ME 04038-2121

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X3008 (ME)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1083650436

Susan J. Russett-Collett, DDS's National Provider Identifier is 1083650436, issued on Jun 22, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Portland, ME. The record was last updated on Jul 8, 2007.