Individual provider · Type 1 NPI
Russell Aron Lieblick, DMD
Oral and Maxillofacial Surgery (Dentist) · Gresham, OR
NPI number
1407856156
Active
Practice location
24850 SE Stark St, Suite 100
Gresham, OR 97030-8316
Fax (503) 665-6983
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | D8342 (OR) |
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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- Gretchen Ann Grooms, LMTMassage Therapist Gresham, OR NPI 1124575139
- Henry Cooke Windell, DMDOral and Maxillofacial Pathology Dentistry Gresham, OR NPI 1063413722
- Jennifer Marie Boom, LMTMassage Therapist Gresham, OR NPI 1164547634
- John Anthony Calcagno, MDPediatrics Physician Gresham, OR NPI 1245220771
- Julia W. Mason, MDPediatrics Physician Gresham, OR NPI 1164426110
- June Ellen Hobbs, CNMAdvanced Practice Midwife Gresham, OR NPI 1063558807
- Kelly Annette Carter, MDObstetrics & Gynecology Physician Gresham, OR NPI 1427066554
- Michelle Cecile Champagne, CNMObstetrics & Gynecology Physician Gresham, OR NPI 1982612024
Other oral and maxillofacial surgery (dentist) providers in Gresham
About NPI 1407856156
Russell Aron Lieblick, DMD's National Provider Identifier is 1407856156, issued on Jul 22, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Gresham, OR. The record was last updated on Jul 13, 2026.