Russell Modern Dentistry, Pc is a Dental Clinic in Portland, Oregon. It is located at 1710 Ne 122nd Ave, Portland, OR and its contact number is 503-295-2120. The authorized person for Russell Modern Dentistry, Pc is Sumeet S. Pandhoh
who is Owner of the clinic and their contact number is 503-295-2120. Russell Modern Dentistry, Pc 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 Modern Dentistry, Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Russell Modern Dentistry, Pc
Specialization:
General Practice Dentistry
Clinic Address:
1710 Ne 122nd Ave, Portland, Oregon, 97230-1939
Phone:
503-295-2120
Fax:
503-305-3342
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:
Sumeet S. Pandhoh
Position:
Owner
Contact Number:
503-295-2120
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 Modern Dentistry, Pc clinic are as mentioned below.
NPI Number:
1063173466
NPI Enumeration Date:
07 Jan, 2022
NPI Last Update On:
07 Jan, 2022
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 Modern Dentistry, Pc are as mentioned below.
Specialization
License Number
State
Status
General Practice
Primary
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 Modern Dentistry, Pc Po Box 920050, Dallas, Texas
Zip:
75392-0050
Phone Number:
714-845-8890
Fax Number:
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Patients can reach Russell Modern Dentistry, Pc at 1710 Ne 122nd Ave, Portland, Oregon or can call to book an appointment on 503-295-2120. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.