Organization · Type 2 NPI

Sharon Russell DDS PC

Oral and Maxillofacial Surgery (Dentist) · Bowie, MD

NPI number 1114629334 Active

Practice location

14300 Gallant Fox Ln Ste 220
Bowie, MD 20715-4033

Fax (301) 576-5800

Mailing address

9632 Marlboro Pike
Upper Marlboro, MD 20772-3767

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1114629334

Sharon Russell DDS PC's National Provider Identifier is 1114629334, issued on Mar 21, 2023. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Bowie, MD. The record was last updated on Mar 21, 2023.