Active NPIIndividual providerSole proprietor

Dr. Philip H Russell, DMD

Dentist, General Practice in Manchester, Vermont

NPI Number1861526568
Practice location
4313 Main St., Manchester, VT 05254
Fax
—
Last updated
July 8, 2007

Philip Hostage Russell is a Dentist, General Practice based in Manchester, VT. 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 (VT). The current practice location address for Philip Hostage Russell is 4313 Main St., Manchester, VT 05254 and can be reached out via phone at 802-362-2151.

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
Phone Number
802-362-2151
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
March 15, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
4313 Main St.
Manchester, VT 05254
State
Vermont
Zip
05254
Phone Number
802-362-2151
Manchester, VT 05254Get directions →

Provider Business Mailing Address Details

Address
Po Box 586
Manchester, VT 05254-0586
City
Manchester
State
VT
Zip
05254-0586
Phone Number
802-362-2151

License Information

License Number
016-0000760
License State
VT
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Philip H Russell, DMD?

The NPI number of Dr. Philip H Russell, DMD is 1861526568. It was assigned on March 15, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Philip H Russell, DMD?

Dr. Philip H Russell, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in VT under license number 016-0000760.

Where does Dr. Philip H Russell, DMD practice?

The practice location is 4313 Main St., Manchester, VT 05254. The office can be reached at 802-362-2151 (phone).

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 1861526568 directly on the NPPES registry website.

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