Organization · Type 2 NPI

Benjamin T Russell DMD LLC

Dental Clinic/Center · Gresham, OR

NPI number 1881247039 Active

Practice location

742 NE Division St Ste 102
Gresham, OR 97030-3979

Call (503) 667-2442 Map

Other practice locations

  • 2824 NE Wasco St Ste 230, Portland, OR 97232-1772 · (503) 954-1372

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

2 other providers at this address

Other dental clinic/center providers in Gresham

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About NPI 1881247039

Benjamin T Russell DMD LLC's National Provider Identifier is 1881247039, issued on Jul 17, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Gresham, OR. The record was last updated on Jul 17, 2019.