Russell Family Dentistry Llc is a Dental Clinic in Portland, Maine. It is located at 495 Woodford Street, Portland, ME and its contact number is 207-772-6966. The authorized person for Russell Family Dentistry Llc is Keith Edmund Russell
who is Member/dentist of the clinic and their contact number is 207-772-6966.
Russell Family Dentistry Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Russell Family Dentistry Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Russell Family Dentistry Llc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 495 Woodford Street, Portland,
Maine, 04103 |
| Phone: | 207-772-6966 |
| Fax: | 207-761-0756 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Keith Edmund Russell |
| Position: | Member/dentist |
| Contact Number: | 207-772-6966 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Russell Family Dentistry Llc clinic are as mentioned below.
| NPI Number: | 1659449940 |
| NPI Enumeration Date: | 03 Dec, 2006 |
| NPI Last Update On: | 12 May, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Russell Family Dentistry Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 154630000 | Other | Maine | Maine Care |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Russell Family Dentistry Llc
495 Woodford Street,
Portland, Maine |
| Zip: | 04103 |
| Phone Number: | 207-772-6966 |
| Fax Number: | 207-761-0756 |
Patients can reach Russell Family Dentistry Llc at
495 Woodford Street, Portland, Maine or can
call to book an appointment on 207-772-6966.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.