RUSSELL J COLLETT


Address: 1601 Congress Street, Portland, ME 04102
Phone: 2077728055

RUSSELL J COLLETT (NPI# 1629173711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629173711
Entity Type Individual
Full Name RUSSELL J COLLETT
Credential DDS
Practice Address 1601 Congress Street
Portland
ME 04102
Practice Telephone 2077728055
Practice Fax Number 2077728752
Mailing Telephone 2077728055
Mailing Fax Number 2077728752
Enumeration Date 2006-09-13
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223P0106X Dentist
Specialization: Oral and Maxillofacial Pathology
3009 ME Dental Providers
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
3009 ME Dental Providers
N 1223X0008X Dentist
Specialization: Oral and Maxillofacial Radiology
3009 ME Dental Providers
Y 204E00000X Oral & Maxillofacial Surgery 3009 ME Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ME 221210000 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
823 Commercial St, Rockport, ME 048564243 2077728055 2077728752

Office Location

Street Address 1601 CONGRESS STREET
City PORTLAND
State ME
Zip Code 04102

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720602964 Ci Yen Joanna Man Student in an Organized Health Care Education/Training Program 190 Park Ave., Portland, ME 04102 2020-06-03
1841811338 Abby Zarotny Sahagian Nurse Anesthetist, Certified Registered Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 2020-05-06
1124656863 Zachary Bernard Tillett Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall St., Portland, ME 04102 2020-03-30
1215564323 Joshua Allen Swenson Student in an Organized Health Care Education/Training Program 33 Bramhall St, Portland, ME 04102 2020-03-26
1740776434 Rishi Phakey Dentist Community Dental, 190 Park Ave, Portland, ME 04102 2018-07-05
1982192571 Jessica Thomas Doula 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 2018-04-29
1699270744 Shane D Kirkegaard Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall Street, Portland, ME 04102 2018-03-29
1144752494 Al-shawk Home Healthcare, LLC Technician 640 Brighton Ave Ste 8, Portland, ME 04102 2017-03-28
1376074674 Samuel B Potter Emergency Medicine Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 2017-03-27
1043767536 Kevin De Ruiter Social Worker 129 Pine St Apt 6, Portland, ME 04102 2016-09-01
Find all providers in zip 04102

Taxonomy Information

Taxonomy Code 204E00000X
Grouping Allopathic & Osteopathic Physicians
Classification Oral & Maxillofacial Surgery

Taxonomy Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346249281 Bryce Earl Potter Oral & Maxillofacial Surgery 1849 Nw Kearney St, Ste 300, Portland, OR 97209-1453 2005-07-20
1053864561 Karl Cuddy Oral & Maxillofacial Surgery 2801 N Gantenbein Ave, Portland, OR 97227-1623 2016-08-01
1104209386 Felix Wiyanto Sim Oral & Maxillofacial Surgery 1015 Nw 22nd Ave, Portland, OR 97210-3025 2015-07-07
1407109937 Providence Health & Services - Oregon Oral & Maxillofacial Surgery 4805 Ne Glisan St, Suite 6n50, Portland, OR 97213-2933 2012-10-22
1447525852 Brett A. Ueeck Dmd, Md, PC Oral & Maxillofacial Surgery 11786 Sw Barnes Rd Ste 110, Portland, OR 97225-5926 2012-03-19
1588939961 Marcus Aaron Couey Oral & Maxillofacial Surgery 1849 Nw Kearney St Ste 300, Portland, OR 97209-1453 2012-03-18
1043537707 Allen C Cheng Oral & Maxillofacial Surgery 1849 Nw Kearney St, Suite 300, Portland, OR 97209 2010-04-21
1043415870 Ashish A Patel Oral & Maxillofacial Surgery 1849 Nw Kearney St, Suite 300, Portland, OR 97209 2007-06-20
1235332834 Daniel Petrisor Oral & Maxillofacial Surgery 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2007-06-09
1790889376 Maine Medical Partners Oral & Maxillofacial Surgery 22 Bramhall St, Dept of Surgery, Portland, ME 04102-3134 2006-09-12
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 04102

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Dataset Information

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.

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