RUSSELL FAMILY DENTISTRY LLC
NPI 1659449940
Dentist - General Practice in Portland, ME

Active since December 03, 2006
495 WOODFORD STREET, PORTLAND, ME 04103(207) 772-6966(207) 761-0756 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Russell Family Dentistry Llc NPPES

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

RUSSELL FAMILY DENTISTRY LLC (NPI 1659449940), doing business as Regan & Russell Llc, is a healthcare organization registered as a general practice in Portland, Maine and active in the NPI registry since December 2006. The organization lists Keith Edmund Russell, Member/dentist, as its authorized official.

NPPES Registry Identity

NPI1659449940
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRUSSELL FAMILY DENTISTRY LLC
Location Address495 WOODFORD STREETPortland, ME 04103
Mailing Address495 Woodford StreetPortland, ME 04103 · (207) 772-6966 · Fax (207) 761-0756
Fax(207) 761-0756
Organization SubpartNo
Authorized OfficialKeith Edmund RussellMember/dentist · (207) 772-6966
Enumeration DateDecember 3, 2006
Last NPPES UpdateMay 12, 20232 updates tracked since enumeration
NPPES CertifiedMay 12, 2023
NPI 1659449940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
495 WOODFORD STREET, Portland, ME 04103

Other Names 1

Former Legal Business NameRegan & Russell Llc

Other Identifiers 1

Other154630000ME · Maine Care

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Family Dentistry LLC's NPI number?

The NPI number for Russell Family Dentistry LLC is 1659449940. It was assigned to this organization in the NPPES registry on December 3, 2006. The provider was formerly known as Regan & Russell LLC.

Where is Russell Family Dentistry LLC located?

Russell Family Dentistry LLC is located at 495 Woodford Street, Portland, ME 04103. The listed phone number is (207) 772-6966.

What is Russell Family Dentistry LLC'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 Family Dentistry LLC was last updated on May 12, 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.