Dr. Michael A Russell (NPI# 1134139157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1134139157 |
| Entity Type | Individual |
| Full Name | Dr. Michael A Russell |
| Credential | D.D.S. |
| Gender | Male |
| Practice Address |
2240 N Highway 89 Suite A Harrisville UT 84404-2651 |
| Practice Telephone | 8017824745 |
| Mailing Address |
2240 N Highway 89 Suite A Harrisville UT 84404-2651 |
| Mailing Telephone | 8017824745 |
| Sole Proprietor | Yes, this individual is a Sole Proprietor |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-08 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 1223G0001X | Dentist · General Practice | Dental Providers | 143024-9922-2006 | UT |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1619351715 | Michael Steven Russell | Optometrist | 1112 S Washington St Ste 214, Naperville, IL 60540-7964 | 2015-07-17 |
| 1518279215 | Michael Russell | Psychologist | 4951 Chambers Street - 6th Floor, Ny, NY 10007-1209 | 2010-07-10 |
| 1245414093 | Michael Russell | Non-emergency Medical Transport (VAN) | 4588 N 23rd St, Milwaukee, WI 53209-6201 | 2007-12-27 |
| 1124242821 | Michael Dennis Russell | Chiropractor | 1164 Monroe St, Suite #1, Salinas, CA 93906-3565 | 2007-04-12 |
| 1831282441 | Michael Guy Russell | Social Worker | 8 West Monroe, #907, Chicago, IL 60603 | 2006-10-02 |
| 1962502880 | Michael A Russell | Chiropractor | 18624 Detroit Ave, Lakewood, OH 44107-3202 | 2006-09-22 |
| 1285640128 | Michael Russell | Counselor | 207 Rock Prairie Rd, Suite B, College Station, TX 77845-8777 | 2006-07-31 |
| 1255304887 | Michael Lee Russell Sr. | Clinical Neuropsychologist | Hq, Tradoc, Suite 412 Atbo-m, Bldg 82, 60 Ingalls Road, Fort Monroe, VA 23651-1032 | 2006-02-13 |
| 1780289504 | Michael Russell | Pharmacist | 208 W Jackson St, Sullivan, IL 61951-1454 | 2020-12-01 |
| Find all providers with the same name | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932391281 | Daniel R Mcconkie | Dentist | 539 N Harrisville Rd, Suite F, Harrisville, UT 84404-3560 | 2007-08-10 |
| 1518510700 | Aaron Kyunghoon Shin | Dentist | 262 Main St, Harrisville, RI 02830 | 2019-07-17 |
| 1710292339 | Mountain Vista Dental Care | Dentist | 539 N Harrisville Rd, Suite F, Harrisville, UT 84404-3560 | 2010-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265037014 | K B Dentistry | Dentist | 204 East Fort Union Blvd, Suite 101, Midvale, UT 84047 | 2020-12-01 |
| 1891398665 | Barry Layle Johnson | Dentist | 2954 E Scenic Valley Ln, Sandy, UT 84092-4952 | 2020-11-16 |
| 1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
| 1023625407 | Austin Keith Woodfield | Dentist | 1305 N Commerce Dr # 22, Saratoga Springs, UT 84045-5305 | 2020-09-29 |
| 1750992111 | Jennifer Lin Sorge | Dentist | 532 N Mallard Dr Unit A, Vineyard, UT 84059-6606 | 2020-08-11 |
| 1750991402 | Dr. Alexander B. Larsen Dds | Dentist | 385 W. Center Street, Orem, UT 84057 | 2020-08-07 |
| 1679182612 | Liberty Mountain Dental LLC | Dentist | 6351 W 13400 S Ste 100, Herriman, UT 84096-5601 | 2020-07-27 |
| 1417575879 | Utah Family Dental Cottonwood Heights | Dentist | 7069 S Highland Dr Ste 200, Salt Lake City, UT 84121-3731 | 2020-07-10 |
| 1043838840 | Jordan Sanger | Dentist | 6770 S 900 E Ste 301, Midvale, UT 84047-1761 | 2020-07-08 |
| 1356969307 | Jacob Marlan Haslam | Dentist | 448 E 5350 S Ste C, Ogden, UT 84405-5415 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
| Street Address |
2240 N HIGHWAY 89 SUITE A |
| City | HARRISVILLE |
| State | UT |
| Zip Code | 84404-2651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881159648 | Bingham Marriage & Family Counseling | Counselor | 1812 W 2000 N #1, Ogden, UT 84404 | 2019-02-06 |
| 1609362094 | Hoopes Dental | Dentist | 333 2nd St. Suite 1a, Ogden, UT 84404 | 2018-07-09 |
| 1497241384 | Alysia Cohen | Specialist/Technologist | 1527 9th Street, Ogden, UT 84404 | 2018-07-03 |
| 1235648049 | Walk Perfect, Inc. | Podiatrist | 1069 S. Stewart Dr, Suite 1, Ogden, UT 84404 | 2017-09-25 |
| 1043738602 | Veronica Skidmore | Specialist/Technologist | 3848 Harrison Blvd., Ogden, UT 84404 | 2017-09-05 |
| 1134645526 | Pco-kta, LLC | Pharmacy | 3673 West 2600 North, Plain City, UT 84404 | 2017-08-17 |
| 1568899227 | Alisa Roberts | Marriage & Family Therapist | 1181 Christmas Box Lane, Ogden, UT 84404 | 2013-09-26 |
| 1366796351 | Kenneth Andrew Boothe | Chiropractor | 1920 North 250 West, Suite 24, Ogden, UT 84404 | 2012-10-30 |
| 1760730659 | Mercury Medical LLC | Durable Medical Equipment & Medical Supplies | 3385 W 2525 N, Plain City, UT 84404 | 2012-08-27 |
| 1700131471 | Tina Middleton | Massage Therapist | 1700w 2700n, # 37, Pleasant View, UT 84404 | 2012-07-19 |
| Find all providers in zip 84404 | ||||
| City | HARRISVILLE |
| Zip Code | 84404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.