Russell J Collett
Oral and Maxillofacial Surgeon Oral and Maxillofacial Pathology Oral and Maxillofacial Radiology Oral & Maxillofacial Surgeon
1601 Congress Street
Portland
, Maine 04102
Russell J Collett
Oral and Maxillofacial Surgeon Oral and Maxillofacial Pathology Oral and Maxillofacial Radiology Oral & Maxillofacial Surgeon
1601 Congress Street
Portland
, Maine 04102
(207) 772-8752
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About
Features
Specialties
- Oral and Maxillofacial Pathology
- Oral and Maxillofacial Surgeon
- Oral and Maxillofacial Radiology
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Russell J Collett
- 1601 Congress Street
- Portland, ME
- Zip : 04102
- Fax : (207) 772-8752
- Phone : (207) 772-8055
Second Address
- Russell J Collett
- 1601 Congress Street
- Portland, ME
- Zip : 04102
- Fax : (207) 772-8752
- Phone : (207) 772-8055
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223P0106X | Oral and Maxillofacial Pathology | 3009 | ME |
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 3009 | ME |
| N | 1223X0008X | Oral and Maxillofacial Radiology | 3009 | ME |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 3009 | ME |
National Provider Identifier
| NPI | 1629173711 |
|---|---|
| Provider Name | Russell J Collett |
| First Address | Portland, ME 04102 |
| Second Address | Portland, ME 04102 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/09/2006 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 221210000 | (05) | ME |
| T95336 | (02) |
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.