Individual provider · Type 1 NPI

Russell Irving Roberge Iii, DDS

General Practice Dentistry · Phoenix, AZ

NPI number 1609088186 Active

Practice location

3646 E Ray Road, Suite B14
Phoenix, AZ 85044-7116

Fax (480) 706-1303

Mailing address

16611 S 40th Street, Suite 140
Phoenix, AZ 85048-0564

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2939 (AZ)

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.

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About NPI 1609088186

Russell Irving Roberge Iii, DDS's National Provider Identifier is 1609088186, issued on May 4, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.