Individual provider · Type 1 NPI

Stefanie Luise Russell, DDS, MPH, PhD

Periodontics · New York, NY

NPI number 1851601983 Active

Practice location

550 1st Ave, Suite Qq
New York, NY 10016-6402

Call (212) 263-7552 Map

Mailing address

530 1st Ave, Suite Qq
New York, NY 10016-6402

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X044169 (NY)
Periodontics 1223P0300X22DI01818700 (NJ)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1851601983

Stefanie Luise Russell, DDS, MPH, PhD's National Provider Identifier is 1851601983, issued on Oct 7, 2010. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in New York, NY. The record was last updated on Apr 27, 2017.