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KEITH EDMUND RUSSELL DMD
NPI 1447328752
Dentist - General Practice in Portland, ME

Active since December 04, 2006
495 WOODFORD ST, PORTLAND, ME 04103(207) 772-6966(207) 761-0756 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Keith Edmund Russell Dmd NPPES

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

KEITH EDMUND RUSSELL DMD (NPI 1447328752) is an individual general practice provider in Portland, Maine, licensed in Maine (3414) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1447328752
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKEITH EDMUND RUSSELLCredential: DMD
Location Address495 WOODFORD STPortland, ME 04103-2438
Mailing Address495 Woodford StPortland, ME 04103-2438 · (207) 772-6966
Phone(207) 772-6966
Fax(207) 761-0756
Sole ProprietorNo
Enumeration DateDecember 4, 2006
Last NPPES UpdateMarch 20, 2023
NPPES CertifiedMarch 20, 2023
✔ NPI 1447328752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ME · 3414
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.
Also ListedDentistTaxonomy 122300000X · License 3414 (ME)
495 WOODFORD ST, Portland, ME 04103
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Other Identifiers 2

Medicaid264030099ME
Other043377401ME · Individual Tax Id #

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEVIN RUSSELL
Dentist (General Practice)
495 WOODFORD ST
PORTLAND, ME 04103
Cumberland County (207) 772-6966
BRIANNA RUSSELL THORNTON DMD
Dentist
495 WOODFORD ST
PORTLAND, ME 04103
Cumberland County (207) 772-6966
EDWARD JAMES GOLD DMD
Dentist (General Practice)
495 WOODFORD ST
PORTLAND, ME 04103
Cumberland County (207) 772-6966
DR. DOROTHY JEAN REGAN DMD
Dentist (General Practice)
495 WOODFORD ST
PORTLAND, ME 04103
Cumberland County (207) 772-6966

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 Keith Russell's NPI number?

The NPI number for Keith Russell is 1447328752. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Keith Russell located?

Keith Russell practices at 495 Woodford St, Portland, ME 04103. The listed phone number is (207) 772-6966.

What is Keith Russell'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 Keith Russell was last updated on March 20, 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.