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Benjamin T Russell, DMD
Periodontist in Gresham, Oregon
NPI 1922168343

Benjamin T Russell is a Periodontist based in Hillsboro, OR and is specialized in Periodontics. Benjamin T Russell practices in Gresham, OR and has the professional credentials of DMD. The NPI Number for Benjamin T Russell is 1922168343 and holds a License No. D8729 (Oregon).

The current practice location address for Benjamin T Russell is 742 Ne Division St Ste 102, Gresham, OR and can be reached out via phone at 503-667-2442.

Location: 742 Ne Division St Ste 102, Gresham, OR, 97123-4281
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922168343
Provider Name
Benjamin T Russell
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
742 Ne Division St Ste 102, Gresham, OR, 97123-4281
Phone Number
503-667-2442
Fax Number
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
742 Ne Division St Ste 102
City
Gresham
State
Oregon
Zip
97030-3979
Phone Number
503-667-2442
Fax Number
person
Provider Business Mailing Address Details
Address
742 Ne Division St Ste 102
City
Gresham
State
Oregon
Zip
97030-3979
Phone Number
503-667-2442
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
D8729 (Oregon)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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