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DR. STEPHEN DICKINSON RUSSELL JR. D.D.S.
NPI 1750398426
Dentist in Olympia, WA

Active since August 02, 2006Opted out of Medicare · through Nov 1, 2027
2604 YELM HWY SE, OLYMPIA, WA 98501(360) 915-9832 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Stephen Dickinson Russell Jr. D.d.s. NPPES

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

DR. STEPHEN DICKINSON RUSSELL JR. D.D.S. (NPI 1750398426) is an individual dentist in Olympia, Washington, licensed in Washington (DE00010316) and active in the NPI registry since August 2006. He has opted out of Medicare through November 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1750398426
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. STEPHEN DICKINSON RUSSELL JR.Credential: D.D.S.
Location Address2604 YELM HWY SEOlympia, WA 98501-4820
Mailing Address2604 Yelm Hwy SeOlympia, WA 98501-4820 · (360) 915-9832
Phone(360) 915-9832
Sole ProprietorNo
Enumeration DateAugust 2, 2006
Last NPPES UpdateSeptember 10, 2024
NPPES CertifiedSeptember 10, 2024
✔ NPI 1750398426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · DE00010316
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2604 YELM HWY SE, Olympia, WA 98501
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Stephen Dickinson Russell Jr. D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 1, 2023 through November 1, 2027.

Opt-Out Effective DateNovember 1, 2023
Opt-Out In Effect ThroughNovember 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Stephen Russell's NPI number?

The NPI number for Stephen Russell is 1750398426. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Stephen Russell located?

Stephen Russell practices at 2604 Yelm Hwy SE, Olympia, WA 98501. The listed phone number is (360) 915-9832.

What is Stephen Russell's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Stephen Russell enrolled in Medicare?

No. Stephen Russell has opted out of Medicare through November 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Stephen Russell was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.