Dr Michael A Russell, DDS is a
Dentist - General Practice based in Harrisville, Utah. Dr Michael A Russell is licensed to practice in Utah (license number 143024-9922-20060511) and his current practice location is
2240 N Highway 89, Suite A, Harrisville, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 782-4745.
NPI number for Dr Michael A Russell is 1134139157 and his current mailing address is 2240 N Highway 89, Suite A, Harrisville, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134139157.
Healthcare Provider's Profile
Full Name | Dr Michael A Russell |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 2240 N Highway 89, Harrisville, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134139157
- Provider Enumeration Date: 08/09/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Michael A Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134139157 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 143024-9922-20060511 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael A Russell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Michael A Russell, DDS 2240 N Highway 89, Suite A, Harrisville, UT 84404-2651 Ph: (801) 782-4745 | Dr Michael A Russell, DDS 2240 N Highway 89, Suite A, Harrisville, UT 84404-2651 Ph: (801) 782-4745 |
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