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REDLANDS DENTAL SURGERY CENTER
NPI 1730233768
Clinic/Center - Ambulatory Surgical in Redlands, CA

Active since January 23, 2007CLIA 05D2165292 · Waiver
1180 NEVADA ST STE #100, REDLANDS, CA 92374(909) 335-0474(909) 335-0477 Get Directions Write a Review

NPPES record last updated: October 8, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Redlands Dental Surgery Center NPPES

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

REDLANDS DENTAL SURGERY CENTER (NPI 1730233768) is a healthcare organization registered as an ambulatory surgical in Redlands, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through April 23, 2027 and lists Russell Seheult, Owner, as its authorized official.

NPPES Registry Identity

NPI1730233768
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameRUSSELL SEHEULT, D.D.S., A PROFESSIONAL CORPORATION
Location Address1180 NEVADA ST STE #100Redlands, CA 92374-2894
Mailing Address1180 Nevada St Ste #100Redlands, CA 92374-2894 · (909) 335-0474 · Fax (909) 335-0477
Phone(909) 335-0474
Fax(909) 335-0477
Organization SubpartNo
Authorized OfficialRussell SeheultOwner · (909) 335-0474
Enumeration DateJanuary 23, 2007
Last NPPES UpdateOctober 8, 2019
✔ NPI 1730233768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X

Other Names 1

Doing Business AsRedlands Dental Surgery Center

Other Identifiers 1

MedicaidSURO1267FCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2165292

Redlands Dental Surgery Center · Redlands, CA
Active · expires Apr 23, 2027
CLIA Number05D2165292
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 24, 2025
Certificate Expiration DateApril 23, 2027
Laboratory DirectorRussell Seheult
Laboratory Phone(909) 335-0474
Laboratory LocationRedlands Dental Surgery Center1180 Nevada Street Suite 100, Redlands, CA 92374
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Seheult, D.D.S., A Professional Corporation's NPI number?

The NPI number for Russell Seheult, D.D.S., A Professional Corporation is 1730233768. It was assigned to this organization in the NPPES registry on January 23, 2007. The provider is doing business as Redlands Dental Surgery Center.

Where is Russell Seheult, D.D.S., A Professional Corporation located?

Russell Seheult, D.D.S., A Professional Corporation is located at 1180 Nevada St Ste #100, Redlands, CA 92374. The listed phone number is (909) 335-0474.

What is Russell Seheult, D.D.S., A Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Russell Seheult, D.D.S., A Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2165292) is associated with this NPI, valid through April 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Russell Seheult, D.D.S., A Professional Corporation was last updated on October 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.