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Mr. Russell Eugene Bibb JR., DMD
General Practice Dentistry in Estacada, Oregon
NPI 1598866154

Russell Eugene Bibb JR. is a General Practice Dentistry based in Estacada, OR and is specialized in General Practice. Russell Eugene Bibb JR. practices in Estacada, OR and has the professional credentials of DMD. The NPI Number for Russell Eugene Bibb JR. is 1598866154 and holds a License No. AD6154 (Oregon).

The current practice location address for Russell Eugene Bibb JR. is 103 Sw Hwy 224, Estacada, OR and can be reached out via phone at 503-630-4211 and via fax at 503-630-4260.

Location: 103 Sw Hwy 224, Estacada, OR, 97023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598866154
Provider Name
Russell Eugene Bibb JR.
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
103 Sw Hwy 224, Estacada, OR, 97023
Phone Number
503-630-4211
Fax Number
503-630-4260
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22197-8 05 OR
AD6154 01 OR OREGON DENTAL
institution
Provider Business Practice Location Address Details
Address
103 Sw Hwy 224
City
Estacada
State
Oregon
Zip
97023
Phone Number
503-630-4211
Fax Number
503-630-4260
person
Provider Business Mailing Address Details
Address
103 Sw Hwy 224
City
Estacada
State
Oregon
Zip
97023
Phone Number
503-630-4211
Fax Number
503-630-4260
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
AD6154 (Oregon)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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