Individual provider · Type 1 NPI
Eric Gordon Russell, DDS
General Practice Dentistry · Salt Lake City, UT
NPI number
1558852269
Active
Practice location
4465 S 900 E Ste 100
Salt Lake City, UT 84124-2695
Mailing address
2320 E Lambourne Ave
Salt Lake City, UT 84109-2708
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 7301384-9922 (UT) |
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.
Another provider at this address
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About NPI 1558852269
Eric Gordon Russell, DDS's National Provider Identifier is 1558852269, issued on May 29, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Salt Lake City, UT. The record was last updated on May 29, 2018.