Organization
GREGORY S RUSSELL, DMD, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY S RUSSELL DMD (PRESIDENT)
(410) 208-3333
Entity
Organization
Contact information
Practice address
11200 RACETRACK RD STE 204, BERLIN, MD 21811-3808
(410) 208-3333
(410) 208-3330
Mailing address
11200 RACETRACK RD STE 204, BERLIN, MD 21811-3808
(410) 208-3333
(410) 208-3330
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
13423
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13423
DENTAL LIC#
MD
Enumeration date
04/08/2011
Last updated
12/23/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us