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Benjamin Russell, D.D.S. — NPI 1013331339, Park City, UT | NPI Central

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NPI 1013331339

IndividualActive

Benjamin Russell, D.D.S.

NPI 1013331339 · Dentist · Park City, UT

Provider details

NPI number: 1013331339
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: D.D.S.
Sex: Male
Sole proprietor: Yes
License: 5729440 (UT)

Specialties & taxonomies

DentistPrimary122300000XLicense 5729440 (UT)
Dental Providers

Practice location

2700 Homestead Rd

#130

Park City, UT 84098-4857

Phone: (435) 940-9900

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

2700 Homestead Rd

Park City, UT 84098-4857

Registry dates

Enumerated: 2014-02-06
Last updated: 2014-02-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.