Russell, Donald Martin
Russell, Donald Martin is an individual health care provider with primary practice located at 4714 Edmondson Avenue , Baltimore MD 21229. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Russell, Donald Martin can be contacted via phone (410) 566-4200.Contact Information
Primary practice address
4714 Edmondson Avenue
Baltimore MD 21229
Phone: (410) 566-4200
Fax: (410) 566-1770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 4900 | Maryland |
Profile Details
| NPI number | 1124044706 |
|---|---|
| LBN Legal business name | Russell, Donald Martin |
| Credentials | DDS ORTHODONTIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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