- Practice location
- 1601 Congress Street, Portland, ME 04102
- Phone
- 207-772-8055
- Fax
- 207-772-8752
- Last updated
- March 17, 2018
Russell J Collett is an Oral & Maxillofacial Surgery based in Portland, ME. Russell J Collett practices in Portland, ME and has the professional credentials of DDS. The NPI Number for Russell J Collett is 1629173711 and holds a License No. 3009 (ME). The current practice location address for Russell J Collett is 1601 Congress Street, Portland, ME 04102 and can be reached out via phone at 207-772-8055 and via fax at 207-772-8752.
Provider Profile Details
- NPI Number
- 1629173711
- Provider Name
- Russell J Collett
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1601 Congress Street, Portland, ME 04102
- Phone Number
- 207-772-8055
- Fax Number
- 207-772-8752
- Primary Taxonomy
- Oral & Maxillofacial Surgery · 204E00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 13, 2006
- Last Update Date
- March 17, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1601 Congress Street
Portland, ME 04102 - City
- Portland
- State
- Maine
- Zip
- 04102
- Phone Number
- 207-772-8055
- Fax Number
- 207-772-8752
Provider Business Mailing Address Details
- Address
- 1601 Congress Street
Portland, ME 04102 - City
- Portland
- State
- ME
- Zip
- 04102
- Phone Number
- 207-772-8055
- Fax Number
- 207-772-8752
License Information
- License Number (1)
- 3009
- License State (1)
- ME
- Taxonomy (1)
- Dentist, Oral and Maxillofacial Pathology · 1223P0106X
- License Number (2)
- 3009
- License State (2)
- ME
- Taxonomy (2)
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- License Number (3)
- 3009
- License State (3)
- ME
- Taxonomy (3)
- Dentist, Oral and Maxillofacial Radiology · 1223X0008X
- License Number (4)
- 3009
- License State (4)
- ME
- Taxonomy (4)
- Oral & Maxillofacial Surgery · 204E00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Russell J Collett, DDS?
The NPI number of Russell J Collett, DDS is 1629173711. It was assigned on September 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Russell J Collett, DDS?
Russell J Collett, DDS is registered under the primary taxonomy Oral & Maxillofacial Surgery (code 204E00000X), licensed in ME under license number 3009.
Where does Russell J Collett, DDS practice?
The practice location is 1601 Congress Street, Portland, ME 04102. The office can be reached at 207-772-8055 (phone) or 207-772-8752 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629173711 directly on the NPPES registry website.