DR. RUSSELL C TEASDALE DMD
NPI 1083614689
Dentist - General Practice in Portland, OR

Q: What is Russell Teasdale's NPI number?

The NPI number for Russell Teasdale is 1083614689. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Q: What is Russell Teasdale's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Russell Teasdale was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 26, 2005

1316 SW 13TH AVENUE, PORTLAND, OR 97201(503) 235-0555(503) 224-5726 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2023, Jun 1, 2023, Jun 20, 2016 (3 updates tracked since 2016).

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About Dr. Russell C Teasdale Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RUSSELL C TEASDALE DMD (NPI 1083614689) is an individual general practice provider in Portland, Oregon, licensed in Oregon (5751) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1083614689

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. RUSSELL C TEASDALECredential: DMD

Location Address1316 SW 13TH AVENUEPortland, OR 97201

Mailing Address1316 Sw 13th AvePortland, OR 97201-3355 · (503) 974-3829 · Fax (503) 224-5726

Phone(503) 235-0555

Fax(503) 224-5726

Sole ProprietorNo

Enumeration DateJuly 26, 2005

Last NPPES UpdateJune 13, 20233 updates tracked since enumeration

NPPES CertifiedJune 13, 2023

✔ NPI 1083614689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OR · 5751

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1316 SW 13TH AVENUE, Portland, OR 97201

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Teasdale's NPI number?

The NPI number for Russell Teasdale is 1083614689. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Russell Teasdale located?

Russell Teasdale practices at 1316 SW 13th Avenue, Portland, OR 97201. The listed phone number is (503) 235-0555.

What is Russell Teasdale's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Russell Teasdale was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.