DR. PHILIP HOSTAGE RUSSELL (NPI# 1861526568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861526568 |
Entity Type | Individual |
Full Name | DR. PHILIP HOSTAGE RUSSELL |
Credential | D.M.D. |
Practice Address |
4313 Main St. Manchester VT 05254 |
Mailing Address |
Po Box 586 Manchester VT 05254-0586 |
Practice Telephone | 8023622151 |
Mailing Telephone | 8023622151 |
Enumeration Date | 2007-03-15 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
016-0000760 | VT | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VT | 919-2393 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073625794 | Philip Christian Russell | Psychiatry & Neurology | 16 Brewster St, #2, Providence, RI 02906-3618 | 2006-08-31 |
Street Address |
4313 MAIN ST. |
City | MANCHESTER |
State | VT |
Zip Code | 05254 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669019949 | Elizabeth Brigante | Contractor | 4351 Route 7a, Manchester, VT 05254 | 2019-12-05 |
1659851954 | Maxwell Levis | Social Worker | 3928 Main St, Manchester, VT 05254 | 2018-08-16 |
1497293807 | Elizabeth Jorgensen | Specialist/Technologist | 956 West Rd, Manchester, VT 05254 | 2017-02-06 |
1740410273 | Sandra W. Birch | Social Worker | 12 Baker Farm Rd, Manchester, VT 05254 | 2009-07-17 |
1699947507 | Susan E. Ward | Registered Nurse | 3567 Main Street, Vt-7a, Manchester Village, VT 05254 | 2008-03-31 |
1902952765 | Heidie Vazquez-garcia | Psychologist | 3855 Main St, Manchester, VT 05254 | 2007-01-26 |
1316011786 | Patricia Ann Toth | Counselor | 113 School Street, Manchester, VT 05254 | 2006-11-20 |
1306869789 | Marion Miller-rumney | Nurse Practitioner | 3869 Main St., Manchester, VT 05254 | 2006-07-25 |
1073551230 | Brenton B Pinkus | Chiropractor | 3724 Main Street, Manchester Village, VT 05254 | 2006-06-02 |
1033558309 | Richard Frank Heilemann | Dentist | 74 Long View Drive, Manchester Center, VT 05254 | 2013-06-20 |
Find all providers in zip 05254 |
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 |
---|---|---|---|---|
1679137228 | Oasis Dental, P.C. | Dentist | 1525 S Willow St Unit 5, Manchester, NH 03103-3209 | 2019-04-30 |
1336613330 | Dental Sleep Providers, LLC | Dentist | 945 Main St Ste 303, Manchester, CT 06040-6064 | 2019-01-14 |
1396246708 | Kenneth M. Laro Dmd LLC | Dentist | 153 Main St Ste 11, Manchester, CT 06042-3112 | 2018-02-22 |
1336654862 | Manchester Dentistry & Implants Pllc | Dentist | 43 Duncan Farms, Manchester, NH 03102-2363 | 2017-12-06 |
1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
1518344100 | Janiris Ruth Matos | Dentist | 8 Vinton Street, Dental Clinic, Manchester, NH 03103 | 2015-05-03 |
1063800399 | Manchester Dental Pllc | Dentist | 26 W Webster St, Manchester, NH 03104-2912 | 2015-01-09 |
1205232295 | Allan L Link Dmd & Associates LLC | Dentist | 14335 Manchester Rd, Manchester, MO 63011-4048 | 2014-11-18 |
1902219215 | Robert Fromuth | Dentist | 765 S Main St Ste 102, Manchester, NH 03102-5141 | 2014-06-04 |
1235474388 | Globus Dental Associates Manchester, PC | Dentist | 1540 Pleasant Valley Rd Ste G, Manchester, CT 06042-8760 | 2012-11-30 |
Find all providers in MANCHESTER |
City | MANCHESTER |
Zip Code | 05254 |
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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.