SHARON RUSSELL DDS PC (NPI# 1386073054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386073054 |
| Entity Type | Organization |
| Organization Name | SHARON RUSSELL DDS PC |
| Other Organization Name | THE MARYLAND ORAL SURGERY GROUP |
| Practice Address |
9632 Marlboro Pike Melwood Professional Center Upper Marlboro MD 20772-3670 |
| Practice Telephone | 2403207331 |
| Mailing Telephone | 2403207331 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |
| Authorized Official Name | MARK RUSSELL (COO) |
| Authorized Official Telephone | 2403207331 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARYLAND DENTAL SPECIALIST |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 14351 | MD | Dental Providers |
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
14351 | MD | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 14351 | 05 |
| Other Name | Type Code |
|---|---|
| The Maryland Oral Surgery Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689930919 | Sharon Russell Dds PC | Dentist | 9632 Pennsylvania Ave, Upper Marlboro, MD 20772-3670 | 2012-04-11 |
| Street Address |
9632 MARLBORO PIKE MELWOOD PROFESSIONAL CENTER |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20772-3670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891102554 | Westphalia Dental Care, LLC | Dentist | 9632 Marlboro Pike, Upper Marlboro, MD 20772 | 2014-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355077 | Doris Lynn Perkins | Pharmacist | 5700 Southeast Crain Hwy, Upper Marlboro, MD 20772 | 2020-10-31 |
| 1730790221 | Creative Mind Therapy | Community/Behavioral Health | 12419 Dorsey Ln, Upper Marlboro, MD 20772 | 2020-08-10 |
| 1932727369 | Shaquitta Morton | Behavior Technician | 9440 Marlboro Pike 100, Upper Marlboro, MD 20772 | 2020-07-13 |
| 1760022958 | Keri Daniel | Nurse Practitioner | 9723 Frank Tippett Rd, Upper Marlboro, MD 20772 | 2020-01-15 |
| 1932668134 | Dentistry for Children of Maryland, LLC | Clinic/Center | 9616 Marlboro Pike, Upper Marlboro, MD 20772 | 2019-03-18 |
| 1033673918 | Shonte Renee Drakeford | Nurse Practitioner | 6610 Woodyard Road, Upper Marlboro, MD 20772 | 2019-01-25 |
| 1902391261 | Myenne Hanson | Home Health Aide | 5002 Ashford Dr, Upper Marlboro, MD 20772 | 2018-06-28 |
| 1659884849 | Clement Okehie | Home Health Aide | 13939 Bishops Bequest Rd, Upper Marlboro, MD 20772 | 2017-11-09 |
| 1497264766 | Fatu Barrie | Technician | 11112 Cranfod Drive, Upper Marlboro, MD 20772 | 2017-09-29 |
| 1801315080 | Hope Academy & Nursing Services | Nursing Care | 14101 Christian Street, Upper Marlboro, MD 20772 | 2017-09-19 |
| Find all providers in zip 20772 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421330 | Aspen Hill Implant & Family Dentistry, P.c | Dentist | 1401 Mercantile Ln # 583, Upper Marlboro, MD 20774-4301 | 2020-09-14 |
| 1740806702 | Sarah A So | Dentist | 14446 Old Mill Rd # 101, Upper Marlboro, MD 20772-3086 | 2020-06-24 |
| 1386051399 | Lisa Daniel | Dentist | 14203 Village Manor Ct, Upper Marlboro, MD 20774-8581 | 2014-07-22 |
| 1285068692 | Family Dentistry of Melwood LLC | Dentist | 9680 Marlboro Pike, Upper Marlboro, MD 20772-3670 | 2013-08-21 |
| 1902108897 | Keith Felix Theodore | Dentist | 16729 Queen Anne Rd, Upper Marlboro, MD 20774-8754 | 2010-11-26 |
| 1538478227 | Yc Roh, Dmd, Pa | Dentist | 7611 S Osborne Rd Ste 104, Upper Marlboro, MD 20772-4200 | 2010-09-29 |
| 1154584233 | Ashish Rastogi | Dentist | 9682 Marlboro Pike, Upper Marlboro, MD 20772-3670 | 2008-07-08 |
| 1801068085 | Upper Marlboro Family Dentistry | Dentist | 9614 Marlboro Pike, Upper Marlboro, MD 20772-3670 | 2008-03-28 |
| 1851418826 | Yoonchul Roh | Dentist | 14446 Old Mill Rd, Suite 101, Upper Marlboro, MD 20772-3086 | 2007-03-23 |
| 1275678609 | Rashad M Jefferson | Dentist | 7703 Crain Highway, Upper Marlboro, MD 20772-4953 | 2007-02-21 |
| Find all providers in UPPER MARLBORO | ||||
| City | UPPER MARLBORO |
| Zip Code | 20772 |
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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.