Collett, Russell J
Collett, Russell J is an sole proprietor health care provider with primary practice located at 1601 Congress Street , Portland ME 04102. He recently has 4 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Radiology, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Collett, Russell J can be contacted via phone (207) 772-8055.Contact Information
Primary practice address
1601 Congress Street
Portland ME 04102
Phone: (207) 772-8055
Fax: (207) 772-8752
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 3009 | Maine |
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 3009 | Maine |
Dental Providers / Oral and Maxillofacial Radiology | 1223X0008X | 3009 | Maine |
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 3009 | Maine |
Profile Details
NPI number | 1629173711 |
---|---|
LBN Legal business name | Collett, Russell J |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 13th, 2006 |
Last updated | Mar 17th, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629173711 | NPPES |
Maine | MEDICAID | 221210000 |
Popular Providers
-
Spann, John A
6015 Shallowford Road , Chattanooga TN 37421-1688 -
Sacks, Jeffrey Clyde
200 Boylston St Suite 305, Chestnut Hill MA 02467-2012 -
Batte, James F
1455 E Bert Kouns Loop , Shreveport LA 71105-5634 -
Jones, Harry E
6015 Shallowford Road , Chattanooga TN 37421-1688 -
Tipps, Wayne E
6015 Shallowford Road , Chattanooga TN 37421-1688 -
Baughman, David Gunter
1608 Polk St , Houma LA 70360-6011 -
Tipps, Steven P
6015 Shallowford Road , Chattanooga TN 37421-1688 -
Yallourakis, Stephen
105 W Stone Dr Ste 1A, Kingsport TN 37660-3256