Russell J Collett, DDS is a
Oral & Maxillofacial Surgery based in Portland, Maine. Russell J Collett is licensed to practice in Maine (license number 3009) and his current practice location is
1601 Congress Street, Portland, Maine. He can be reached at his office (for appointments etc.) via phone at
(207) 772-8055.
NPI number for Russell J Collett is 1629173711 and his current mailing address is 1601 Congress Street, Portland, Maine. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629173711.
Healthcare Provider's Profile
| Full Name | Russell J Collett |
|---|
| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 1601 Congress Street, Portland, Maine |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629173711
- Provider Enumeration Date: 09/13/2006
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Russell J Collett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629173711 | NPI | - | NPPES |
| 221210000 | Medicaid | ME | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | 3009 (Maine) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3009 (Maine) | Secondary |
| 1223X0008X | Dentist - Oral And Maxillofacial Radiology | 3009 (Maine) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 3009 (Maine) | 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. Russell J Collett 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 |
|---|
Russell J Collett, DDS
1601 Congress Street,
Portland, ME 04102
Ph: (207) 772-8055 | Russell J Collett, DDS
1601 Congress Street,
Portland, ME 04102
Ph: (207) 772-8055 |
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