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 Number | Specialization | State | Status | |
| DDS104651 | Pediatric Dentistry | California | Primary | |
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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.