DR. PHILIP HOSTAGE RUSSELL


Address: 4313 Main St., Manchester, VT 05254
Phone: 8023622151

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
016-0000760 VT Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
VT 919-2393 05

Other Providers PHILIP RUSSELL

NPI Name Taxonomy Address Enumeration
1073625794 Philip Christian Russell Psychiatry & Neurology 16 Brewster St, #2, Providence, RI 02906-3618 2006-08-31

Office Location

Street Address 4313 MAIN ST.
City MANCHESTER
State VT
Zip Code 05254

Providers in the same zip code

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 Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

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City MANCHESTER
Zip Code 05254

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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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