Dr Russell George Edman, DMD is a
Dentist - General Practice based in Pine Plains, New York. Dr Russell George Edman is licensed to practice in New York (license number 042-542) and his current practice location is
2977 Church St., Pine Plains, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 398-5311.
NPI number for Dr Russell George Edman is 1497878821 and his current mailing address is 2977 Church St. P.o. Box 178, Pine Plains, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497878821.
Healthcare Provider's Profile
Full Name | Dr Russell George Edman |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 2977 Church St., Pine Plains, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497878821
- Provider Enumeration Date: 04/09/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Russell George Edman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497878821 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 042-542 (New York) | 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 Russell George Edman 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 Russell George Edman, DMD 2977 Church St. P.o. Box 178, Pine Plains, NY 12567-0178 Ph: (518) 398-5311 | Dr Russell George Edman, DMD 2977 Church St., Pine Plains, NY 12567-0178 Ph: (518) 398-5311 |
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