Gregory Russell, DMD

NPI 1760452890 · on the registry since 2006 · sole proprietor

Practice

Address: 11200 Racetrack Rd Ste 204
Berlin, MD 21811
Phone: (410) 208-3333
Fax: (410) 208-3330
Organisation at this address: Gregory S Russell, Dmd, P.A.
Shorewellness And Med Spa, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Endodontics
1223E0200X
Licence states on file: MD
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-12-23

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 Maryland