Russell Modern Dentistry, Pc - Dental Clinic in Portland, OR

Russell Modern Dentistry, Pc is a dental clinic (Dentist - General Practice) in Portland, Oregon. The current practice location for Russell Modern Dentistry, Pc is 1710 Ne 122nd Ave, Portland, Oregon. For appointments, you can reach them via phone at (503) 295-2120. The mailing address for Russell Modern Dentistry, Pc is Po Box 920050, Dallas, Texas and phone number is (714) 845-8890.

Russell Modern Dentistry, Pc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1063173466. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (503) 295-2120.

Contact Information

Russell Modern Dentistry, Pc
1710 Ne 122nd Ave
Portland
OR 97230-1939
(503) 295-2120
(503) 305-3342

Map and Direction


Dental Care Clinic Profile

Full NameRussell Modern Dentistry, Pc
SpecialityDentist - General Practice
Location1710 Ne 122nd Ave, Portland, Oregon
Authorized Official Name and PositionSumeet S. Pandhoh (OWNER)
Authorized Official Contact5032952120
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Russell Modern Dentistry, Pc
Po Box 920050
Dallas
TX 75392-0050

Ph: (714) 845-8890
Russell Modern Dentistry, Pc
1710 Ne 122nd Ave
Portland
OR 97230-1939

Ph: (503) 295-2120

NPI Details:

NPI Number1063173466
Provider Enumeration Date01/07/2022
Last Update Date01/07/2022

Medical Identifiers

Medical identifiers for Russell Modern Dentistry, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063173466NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice (* (Not Available))Primary

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.