Dr. Susan J Russett-Collett
Pediatric Dentist
888 Brighton Ave
Portland
, Maine 04102-1004
Dr. Susan J Russett-Collett
Pediatric Dentist
888 Brighton Ave
Portland
, Maine 04102-1004
(207) 839-8149
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Susan J Russett-Collett
- 3 Ledge Hill Rd
- Gorham, ME
- Zip : 04038-2121
- Phone : (207) 839-8149
Second Address
- Dr. Susan J Russett-Collett
- 888 Brighton Ave
- Portland, ME
- Zip : 04102-1004
- Phone : (207) 772-4111
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FAQs
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Is Dr. Susan J Russett-Collett a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 3008 | ME |
National Provider Identifier
| NPI | 1083650436 |
|---|---|
| Provider Name | Dr. Susan J Russett-Collett |
| First Address | Gorham, ME 04038-2121 |
| Second Address | Portland, ME 04102-1004 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.