Russell, Jean

Russell, Jean is an individual health care provider with primary practice located at 250 Mount Vernon St , Dorchester MA 02125-3120. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Russell, Jean can be contacted via phone (617) 288-1140.

Contact Information

Primary practice address
250 Mount Vernon St Dorchester MA 02125-3120
Phone: (617) 288-1140
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 4105 Massachusetts

Profile Details

NPI number 1801037544
LBN Legal business name Russell, Jean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2009
Last updated Mar 10th, 2009 - about 16 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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