Individual provider · Type 1 NPI
Philip Hostage Russell, DMD
General Practice Dentistry · Manchester, VT
NPI number
1861526568
Active
Practice location
4313 Main St.
Manchester, VT 05254
Mailing address
PO Box 586
Manchester, VT 05254-0586
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 016-0000760 (VT) |
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.
About NPI 1861526568
Philip Hostage Russell, DMD's National Provider Identifier is 1861526568, issued on Mar 15, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Manchester, VT. The record was last updated on Jul 8, 2007.