Search › Maine › 1223G0001X
Keith Russell, DMD
NPI 1447328752 · on the registry since 2006
Practice
- Address
- 495 Woodford St
Portland, ME 04103 - Phone
- (207) 772-6966
- Fax
- (207) 761-0756
- Organisation at this address
- Russell Family Dentistry Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-20
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 Maine