person
Dr. Philip Hostage Russell, DMD
General Practice Dentistry in Manchester, Vermont
NPI 1861526568

Philip Hostage Russell is a General Practice Dentistry based in Manchester, VT and is specialized in General Practice. Philip Hostage Russell practices in Manchester, VT and has the professional credentials of DMD. The NPI Number for Philip Hostage Russell is 1861526568 and holds a License No. 016-0000760 (Vermont).

The current practice location address for Philip Hostage Russell is 4313 Main St., Manchester, VT and can be reached out via phone at 802-362-2151.

Location: 4313 Main St., Manchester, VT, 05254-0586
person
Provider Profile Details
NPI Number
1861526568
Provider Name
Philip Hostage Russell
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
4313 Main St., Manchester, VT, 05254-0586
Phone Number
802-362-2151
Fax Number
Provider Enumeration Date
03/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
919-2393 05 VT
institution
Provider Business Practice Location Address Details
Address
4313 Main St.
City
State
Zip
05254
Phone Number
802-362-2151
Fax Number
person
Provider Business Mailing Address Details
Address
4313 Main St.
City
State
Zip
05254
Phone Number
802-362-2151
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
016-0000760 (Vermont)
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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