Litin, Russell B
Litin, Russell B is an individual health care provider with primary practice located at 888 Worcester St Suite 130, Wellesley MA 02482-3744. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Litin, Russell B can be contacted via phone (617) 964-6681.Contact Information
Primary practice address
888 Worcester St Suite 130
Wellesley MA 02482-3744
Phone: (617) 964-6681
Fax: (339) 686-2561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 15201 | Massachusetts |
Profile Details
| NPI number | 1386659951 |
|---|---|
| LBN Legal business name | Litin, Russell B |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Aug 28th, 2012 - about 12 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 | 1386659951 | NPPES |
| Massachusetts | MEDICAID | 0272906 | |
| Massachusetts | Other | X06251 |
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