Whalio Doctors

NPI 1629173711

Russell J Collett, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Portland, ME

Practice location

Address
1601 Congress Street, Portland, ME 04102
Phone
(207) 772-8055
Fax
(207) 772-8752

Registered specialties (4)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 3009 (ME)
Oral and Maxillofacial Pathology Dentistry
Dental Providers Taxonomy 1223P0106X Licence 3009 (ME)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 3009 (ME)
Oral and Maxillofacial Radiology Dentistry
Dental Providers Taxonomy 1223X0008X Licence 3009 (ME)

Registry record

NPI
1629173711
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Sep 2006
Record last updated
17 Mar 2018

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.