Organization · Type 2 NPI

Sharon Russell DDS PC

Oral and Maxillofacial Surgery (Dentist) · Upper Marlboro, MD

NPI number 1689930919 Active

Practice location

9632 Pennsylvania Ave
Upper Marlboro, MD 20772-3670

Mailing address

3305 Old Largo Rd
Upper Marlboro, MD 20772-7811

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X14351 (MD)

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 1689930919

Sharon Russell DDS PC's National Provider Identifier is 1689930919, issued on Apr 11, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Upper Marlboro, MD. The record was last updated on Apr 11, 2012.