Individual provider · Type 1 NPI

Keith Edmund Russell, DMD

General Practice Dentistry · Portland, ME

NPI number 1447328752 Active

Practice location

495 Woodford St
Portland, ME 04103-2438

Call (207) 772-6966 Map

Fax (207) 761-0756

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X3414 (ME)
General Practice Dentistry Primary 1223G0001X3414 (ME)

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.

4 other providers at this address

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About NPI 1447328752

Keith Edmund Russell, DMD's National Provider Identifier is 1447328752, issued on Dec 4, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, ME. The record was last updated on Mar 20, 2023.