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GREGORY S RUSSELL, DMD, P.A.
NPI 1619267903
Dentist - Endodontics in Berlin, MD

Active since April 08, 2011
11200 RACETRACK RD STE 204, BERLIN, MD 21811(410) 208-3333(410) 208-3330 Get Directions Write a Review

NPPES record last updated: December 23, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gregory S Russell, Dmd, P.a. NPPES

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

GREGORY S RUSSELL, DMD, P.A. (NPI 1619267903) is a healthcare organization registered as an endodontics in Berlin, Maryland and active in the NPI registry since April 2011. The organization lists Gregory S Russell, President, as its authorized official.

NPPES Registry Identity

NPI1619267903
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameGREGORY S RUSSELL, DMD, P.A.
Location Address11200 RACETRACK RD STE 204Berlin, MD 21811-3808
Mailing Address11200 Racetrack Rd Ste 204Berlin, MD 21811-3808 · (410) 208-3333 · Fax (410) 208-3330
Phone(410) 208-3333
Fax(410) 208-3330
Organization SubpartNo
Authorized OfficialGregory S RussellPresident · (410) 208-3333
Enumeration DateApril 8, 2011
Last NPPES UpdateDecember 23, 2014
✔ NPI 1619267903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in MD · 13423
Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

11200 RACETRACK RD STE 204, Berlin, MD 21811
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Other Identifiers 1

Other13423MD · Dental Lic#

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. GREGORY SCOTT RUSSELL DMD
Dentist (Endodontics)
11200 RACETRACK RD STE 204
BERLIN, MD 21811
Worcester County (410) 208-3333

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 Gregory S Russell, Dmd, P.A.'s NPI number?

The NPI number for Gregory S Russell, Dmd, P.A. is 1619267903. It was assigned to this organization in the NPPES registry on April 8, 2011.

Where is Gregory S Russell, Dmd, P.A. located?

Gregory S Russell, Dmd, P.A. is located at 11200 Racetrack Rd Ste 204, Berlin, MD 21811. The listed phone number is (410) 208-3333.

What is Gregory S Russell, Dmd, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Gregory S Russell, Dmd, P.A. was last updated on December 23, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.