Russell Thaler, DMD,MS

NPI 1215145693 · on the registry since 2007 · sole proprietor

Practice

Address: 5757 Monclova Rd
Suite 12
Maumee, OH 43537
Phone: (419) 893-0253
Organisation at this address: Alliance Retina
Independence Health Llc
Monclova Road Pediatrics
Irb Medical Equipment Llc
Timothy J Mattison, Md Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 38

Registry record

Primary taxonomy: Periodontics
1223P0300X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-11-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio