NPI 1003462292

Eric G Russell DDS LLC

Organisation Dental Clinic/Center Ogden, UT

Practice location

Address: 5685 S 1475 E STE 4a, Ogden, UT 84403-4598
Phone: (801) 475-4646

Authorised official

Name: Eric Gordon Russell
Title: Owner/Member Manager
Phone: (801) 644-4605

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Utah →

Registry record

NPI: 1003462292
Entity type: Organization
NPI issued: 13 Aug 2019
Record last updated: 13 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.