DR. DONALD MARTIN RUSSELL (NPI# 1124044706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124044706 |
Entity Type | Individual |
Full Name | DR. DONALD MARTIN RUSSELL |
Credential | DDS ORTHODONTIST |
Practice Address |
4714 Edmondson Avenue Baltimore MD 21229 |
Practice Telephone | 4105664200 |
Practice Fax Number | 4105661770 |
Mailing Telephone | 4105664200 |
Mailing Fax Number | 4105661770 |
Enumeration Date | 2006-07-15 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
4900 | MD | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922451616 | Donald E. Russell Iv | Specialist/Technologist | 650 S Baltimore St, Dillsburg, PA 17019-9636 | 2016-07-18 |
1952417479 | Donald M Russell Jr. | Dentist | 2425 Medical Center Pkwy, Selma, AL 36701-7756 | 2006-08-21 |
1285610980 | Donald J Russell | Psychiatry & Neurology | 10711 Tarrington Dr, Houston, TX 77024-3127 | 2005-12-15 |
1902885742 | Donald L. Russell | Internal Medicine | 2600 6th St Sw, Suite A2-710, Canton, OH 44710-1702 | 2006-01-11 |
1326038662 | Donald Wayne Russell | Allergy & Immunology | 14 Mcdowell St, Asheville, NC 28801-4104 | 2005-10-27 |
Street Address |
4714 EDMONDSON AVENUE |
City | BALTIMORE |
State | MD |
Zip Code | 21229 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437177995 | May Nicholas-holmes | Dentist | 4714 Edmondson Avenue, Baltimore, MD 21229 | 2006-07-17 |
1003832684 | Drs Russell & Nicholas-holmes | Dentist | 4714 Edmondson Avenue, Baltimore, MD 21229 | 2006-07-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
Find all providers in zip 21229 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184234536 | Sheng Ge | Dentist | 305 W Fayette St Apt 1401, Baltimore, MD 21201-3467 | 2020-07-31 |
1689122541 | Daniel C Shin, Dds, PC | Dentist | 2835 Smith Ave Ste B, Baltimore, MD 21209-1454 | 2016-09-20 |
1568731891 | Frederick Gerard Preis | Dentist | 810 Drohomer Pl, Baltimore, MD 21210-1347 | 2011-12-15 |
1942322961 | Edwin Lawrence Morris | Dentist | 4211 Blakely Ave, Suite 104, Baltimore, MD 21236-2407 | 2007-04-03 |
1124164215 | Gwendolyn F Dunn | Dentist | 2406 Garrison Blvd, Baltimore, MD 21216-2222 | 2007-01-29 |
1356413090 | Robert D Isaacs | Dentist | 8406 Harford Rd, Baltimore, MD 21234-4638 | 2006-11-15 |
1881605624 | Edgar Sweren | Dentist | 1001 North Point Blvd, Suite 501, Baltimore, MD 21224 | 2006-08-10 |
1780202358 | Trenton Davidheiser | Dentist | 1253 W Pratt St, Baltimore, MD 21223-2684 | 2020-07-10 |
1720475569 | Ronald Greenwald | Dentist | 1134 N Rolling Rd, Baltimore, MD 21228-3931 | 2015-04-20 |
1346646379 | Halethorpe Orthodontics, LLC | Dentist | 4367 Hollins Ferry Rd, Suite 1d, Baltimore, MD 21227-3400 | 2014-11-19 |
Find all providers in BALTIMORE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.