Individual
DEVIN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
495 WOODFORD ST, PORTLAND, ME 04103-2438
(207) 772-6966
Mailing address
5 DEERFIELD WAY, FALMOUTH, ME 04105-2658
(207) 809-9528
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN5272
ME
Other
Enumeration date
03/25/2024
Last updated
06/13/2025
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