DR. MATTHEW AARON RUSSELL (NPI# 1578756458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578756458 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW AARON RUSSELL |
| Credential | D.M.D. |
| Practice Address |
315 Mchugh Blvd 2d Denbn/ndc Camp Lejeune NC 28547-2511 |
| Practice Telephone | 9104512208 |
| Practice Fax Number | 9104518036 |
| Mailing Telephone | 9104512208 |
| Mailing Fax Number | 9104518036 |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2008-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D-4069 | ID | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244648 | Matthew B Russell | Marriage & Family Therapist | 4125 Temescal St Ste G, Fair Oaks, CA 95628-7558 | 2020-10-27 |
| 1821468604 | Matthew Russell | Psychologist | 520 S Grand Ave Ste 671, Los Angeles, CA 90071-2655 | 2015-10-06 |
| 1821260084 | Matthew Scott Russell | Otolaryngology | 2233 Post St. 3rd Floor; Box 1225, University of California, San Francisco; Department Of, San Francisco, CA 94115 | 2008-03-28 |
| 1699723627 | Matthew L. Russell | Internal Medicine | 1200 Centre Street, Department of Medicine, Roslindale, MA 02131 | 2006-05-04 |
| 1740881143 | Matthew Russell | Counselor | 151 Industrial Dr, Birmingham, AL 35211-4445 | 2020-11-03 |
| 1245868090 | Matthew Russell | Pediatrics | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-03-28 |
| 1194352765 | Matthew David Russell | Student in an Organized Health Care Education/Training Program | 75 Francis St # Streetl1, Boston, MA 02115-6110 | 2020-03-24 |
| 1851931059 | Matthew Thomas Russell | Pharmacist | 3410 Northpark Dr, Kingwood, TX 77345-6108 | 2020-01-15 |
| 1487203485 | Matthew E.b. Russell | Psychologist | 1504 Ben Taub Loop, Houton, TX 77030 | 2019-09-11 |
| 1477045326 | Matthew David Russell | Behavioral Analyst | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2018-06-05 |
| Street Address |
315 MCHUGH BLVD 2D DENBN/NDC |
| City | CAMP LEJEUNE |
| State | NC |
| Zip Code | 28547-2511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962403477 | Christopher John Cobb | Dentist | 315 Mchugh Blvd, 2d Denbn/ndc, Camp Lejeune, NC 28547-2511 | 2005-08-09 |
| 1275052417 | Paige Nicole Roland | Dentist | 315 Mchugh Blvd, Camp Lejeune, NC 28542-0130 | 2017-09-19 |
| 1851810188 | Agnes T Ho | Dentist | 315 Mchugh Blvd, Camp Lejeune, NC 28547-2511 | 2017-09-19 |
| 1124499520 | Hee Young Hwang | Dentist | 315 Mchugh Blvd, Commanding Officer, 2d Denbn/ndc, Psc 20130, Camp Lejeune, NC 28542-0130 | 2015-10-12 |
| 1609276054 | Blake Quigley | Dentist | 315 Mchugh Blvd, 2d Denbn/ncd Psc 20130 Commanding Officer, Camp Lejeune, NC 29540-0130 | 2014-09-03 |
| 1013325042 | Jessica Renee Norris | Student in an Organized Health Care Education/Training Program | 315 Mchugh Blvd, Commanding Officer 2d Denbn/ndc Psc 20130, Camp Lejeune, NC 28542-0130 | 2014-07-22 |
| 1811303183 | Kevin Christopher Wiman | Dentist | 315 Mchugh Blvd, Commanding Officer, 2d Denbn/ndc, Psc 20130, Camp Lejeune, NC 28542-0130 | 2014-07-08 |
| 1598177222 | Blake Aaron Donaldson | Student in an Organized Health Care Education/Training Program | 315 Mchugh Blvd, Commanding Officer 2d Denbn/ndc Psc 20130, Camp Lejeune, NC 28540-0130 | 2014-05-29 |
| 1871843755 | Christopher Robert Ortiz | Dentist | 315 Mchugh Blvd, Commanding Officer, 2d Denbn/ndc, Psc Box 20130, Camp Lejeune, NC 28542-0130 | 2012-09-18 |
| 1407103807 | Alan Douglas Dransfield | Dentist | 315 Mchugh Blvd, Commanding Officer, 2d Denbn/ndc Psc 20130, Camp Lejeune, NC 28542-0130 | 2012-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558906032 | Abigail Deemer | Physician Assistant | L Street, Bldg Hp-416, Camp Lejeune, NC 28547 | 2019-11-08 |
| 1407406267 | Michelle Ferricher | Nurse Practitioner | Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 | 2019-09-13 |
| 1215595566 | Kayla L Torrez Chang | General Practice | Mcmh Fc 308, Hm Smith Boulevard, Camp Lejeune, NC 28547 | 2019-06-02 |
| 1699338442 | Amanda Leigh Jepsen | Military Health Care Provider | Naval Medical Center; 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2019-04-17 |
| 1306336995 | Erik Reid King | Physician Assistant | F Street Bldg. Hp206, Camp Lejeune, NC 28547 | 2018-05-18 |
| 1114434032 | David John Mcdermott | Specialist/Technologist | Bldg. H1 Julian C Smith Rd., Camp Lejuene, NC 28547 | 2017-12-30 |
| 1235678434 | Nicolle Elizabeth Johnson | Occupational Therapist | 180 Hospital Corps Blvd., Camp Lejeune, NC 28547 | 2017-02-21 |
| 1427435585 | Naval Medical Center Camp Lejeune | Military/U.S. Coast Guard Pharmacy | Stone St. Extention, Bldg Nh200, Camp Lejeune, NC 28547 | 2015-04-28 |
| 1043634173 | Garrett Michael Wren | Obstetrics & Gynecology | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2014-02-10 |
| 1245662436 | Samuel Maluil | Internal Medicine | Bldg 124 Wallace Creek, Camp Lejeunce, NC 28547 | 2013-07-30 |
| Find all providers in zip 28547 | ||||
| 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 |
|---|---|---|---|---|
| 1467783241 | Braden Grey Miller | Dentist | 2d Den Bn/ndc Psc 20130, 315 Mchugh Blvd, Camp Lejeune, NC 28540 | 2010-01-19 |
| 1710120621 | Ryan Matthew Davis | Dentist | 2d Denbn/ndc 2dmlg, Pcs Box 20130, Camp Lejeune, NC 28542-0130 | 2009-04-08 |
| 1457349649 | Karla Iyonmahan | Dentist | Marine Corps Base - Camp Lejeune, 460 Bldg Julian C. Smith Blvd, Camp Lejeune, NC 28542 | 2005-10-11 |
| 1962403477 | Christopher John Cobb | Dentist | 315 Mchugh Blvd, 2d Denbn/ndc, Camp Lejeune, NC 28547-2511 | 2005-08-09 |
| 1952752172 | Jacqueline Ogi | Dentist | 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2016-06-29 |
| 1669636981 | Brooke Sibila Stiles | Dentist | 315 Mchugh Blvd, 2d Denbn/ndc, Camp Lejeune, NC 28547-2511 | 2008-07-16 |
| 1992963706 | Benjamin James Lago | Dentist | 315 Mchugh Blvd, 2d Denbn/ndc, Camp Lejeune, NC 28547-2511 | 2008-05-29 |
| 1073771994 | James Palmer Fetner | Dentist | 315 Mchugh Blvd, 2d Denbn/ndc, Camp Lejeune, NC 28547-2511 | 2008-05-28 |
| 1215129861 | Donna M. Gentry | Dentist | 315 Mchugh Blvd, 2d Denbn/ndc, Camp Lejeune, NC 28547-2511 | 2007-08-16 |
| 1992903058 | Jason William Mathys | Dentist | 315 Mchugh Blvd, 2d Denbn/ndc, Camp Lejeune, NC 28547-2511 | 2007-07-10 |
| Find all providers in CAMP LEJEUNE | ||||
| City | CAMP LEJEUNE |
| Zip Code | 28547 |
Please comment or provide details below to improve the information on DR. MATTHEW AARON RUSSELL.
| 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.