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Gregory S Russell, Dmd, P.a.
Endodontist in Berlin, Maryland
NPI 1619267903

Gregory S Russell, Dmd, P.a. is a Endodontist based in Berlin, MD and is specialized in Endodontics. Gregory S Russell, Dmd, P.a. practices in Berlin, MD. The NPI Number for Gregory S Russell, Dmd, P.a. is 1619267903 and holds a License No. 13423 (Maryland).

The current practice location address for Gregory S Russell, Dmd, P.a. is 11200 Racetrack Rd Ste 204, Berlin, MD and can be reached out via phone at 410-208-3333 and via fax at 410-208-3330.

Location: 11200 Racetrack Rd Ste 204, Berlin, MD, 21811-3808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619267903
Provider Name
Gregory S Russell, Dmd, P.a.
Credential
Provider Entity Type
Organization
Address
11200 Racetrack Rd Ste 204, Berlin, MD, 21811-3808
Phone Number
410-208-3333
Fax Number
410-208-3330
Provider Enumeration Date
04/08/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13423 01 MD DENTAL LIC#
institution
Provider Business Practice Location Address Details
Address
11200 Racetrack Rd Ste 204
City
Berlin
State
Maryland
Zip
21811-3808
Phone Number
410-208-3333
Fax Number
410-208-3330
person
Provider Business Mailing Address Details
Address
11200 Racetrack Rd Ste 204
City
Berlin
State
Maryland
Zip
21811-3808
Phone Number
410-208-3333
Fax Number
410-208-3330
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Endodontics
Taxonomy
1223E0200X
License No.
13423 (Maryland)
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
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Gregory Scott Russell
NPI 1760452890
Endodontist
11200 Racetrack Rd Ste 204,
BERLIN, MD
21811-3808
410-208-3333
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