Regan & Russell Llc

LBN: Russell Family Dentistry Llc
Regan & Russell Llc is an health care organization with primary practice located at 495 Woodford Street , Portland ME 04103. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Russell Family Dentistry Llc can be contacted via phone (207) 772-6966, or through Russell, Keith Edmund via phone (207) 772-6966.

Contact Information

Primary practice address
495 Woodford Street Portland ME 04103
Phone: (207) 772-6966
Fax: (207) 761-0756
Website:
Map and Directions
Authorized official contact:
Name: Russell, Keith Edmund Doctor of Dental Medicine (DMD)
Phone: (207) 772-6966

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1659449940
LBN Legal business name Russell Family Dentistry Llc
DBA Doing business as Regan & Russell Llc
Authorized official Russell, Keith Edmund Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2006
Last updated May 12th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659449940 NPPES
Maine Other 154630000 MAINE CARE

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