Bortnem, Russell
Bortnem, Russell is an sole proprietor health care provider with primary practice located at 3923 Rustic Woods Dr Suite A, Kingwood TX 77339-2611. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bortnem, Russell can be contacted via phone (281) 360-8400.Contact Information
Primary practice address
3923 Rustic Woods Dr Suite A
Kingwood TX 77339-2611
Phone: (281) 360-8400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 15848 | Texas |
Profile Details
| NPI number | 1023106630 |
|---|---|
| LBN Legal business name | Bortnem, Russell |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Mar 18th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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