Dr. Samuel Yohannes Russom

DDS | Pediatric Dentist



  
  2015 Birch Rd Ste 103, Chula Vista
  California, 91915-2003

  619-391-9287    Maps & Directions
Dr. Samuel Yohannes Russom is a Chula Vista, California based Pediatric Dentist who is specialized in Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Samuel Yohannes Russom is DDS104651 for Pediatric Dentistry in California. His current practice location is 2015 Birch Rd Ste 103, Chula Vista. Patients can reach him at 619-391-9287.
Dr. Samuel Yohannes Russom provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Samuel Yohannes Russom speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Name: Dr. Samuel Yohannes Russom
Specialization: Pediatric Dentist
Gender:Male
Credentials: DDS
Accepts Medicare Assignment:No
Practice Address:2015 Birch Rd Ste 103, Chula Vista,
California, 91915-2003
Phone:619-391-9287
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 are as mentioned below.
NPI Number: 1144719196
NPI Enumeration Date: 04 May, 2018
NPI Last Update On: 28 Dec, 2021

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Samuel Yohannes Russom are as mentioned below.
License NumberSpecializationStateStatus
DDS104651Pediatric Dentistry CaliforniaPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 5311 Oak Park Dr,
San Diego, California
Zip: 92105-4959
Phone Number: 619-263-0384
Patients can reach Dr. Samuel Yohannes Russom at 2015 Birch Rd Ste 103, Chula Vista, California or can call to book an appointment on 619-391-9287. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.

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