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BENJAMIN T RUSSELL DMD LLC
NPI 1881247039
Clinic/Center - Dental in Gresham, OR

Active since July 17, 2019
742 NE DIVISION ST STE 102, GRESHAM, OR 97030(503) 667-2442 Get Directions Write a Review

NPPES record last updated: July 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Benjamin T Russell Dmd Llc NPPES

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

BENJAMIN T RUSSELL DMD LLC (NPI 1881247039) is a healthcare organization registered as a dental in Gresham, Oregon and active in the NPI registry since July 2019. The organization maintains a secondary practice location in Portland and lists Benjamin Russell, Owner, as its authorized official.

NPPES Registry Identity

NPI1881247039
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBENJAMIN T RUSSELL DMD LLC
Location Address742 NE DIVISION ST STE 102Gresham, OR 97030-3979
Mailing Address742 Ne Division St Ste 102Gresham, OR 97030-3979 · (503) 667-2442
Phone(503) 667-2442
Organization SubpartNo
Authorized OfficialBenjamin RussellOwner · (503) 667-2442
Enumeration DateJuly 17, 2019
✔ NPI 1881247039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
742 NE DIVISION ST STE 102, Gresham, OR 97030
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Secondary Practice Location 1

Location 12824 NE Wasco St Ste 230Portland, OR 97232-1772 · Phone (503) 954-1372

Other Providers at the Same Location NPPES 2

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

SEI JIN KIM D.M.D
Dentist (General Practice)
742 NE DIVISION ST STE 102
GRESHAM, OR 97030
Multnomah County (503) 667-2442
BENJAMIN T RUSSELL DMD
Dentist (Periodontics)
742 NE DIVISION ST STE 102
GRESHAM, OR 97030
Multnomah County (503) 667-2442

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 Benjamin T Russell Dmd LLC's NPI number?

The NPI number for Benjamin T Russell Dmd LLC is 1881247039. It was assigned to this organization in the NPPES registry on July 17, 2019.

Where is Benjamin T Russell Dmd LLC located?

Benjamin T Russell Dmd LLC is located at 742 NE Division St Ste 102, Gresham, OR 97030. The listed phone number is (503) 667-2442.

What is Benjamin T Russell Dmd LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Benjamin T Russell Dmd LLC was last updated on July 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.