OrganizationActive
Russell Modern Dentistry, PC
NPI 1063173466 · General Practice Dentistry · Portland, OR
Provider details
- NPI number
- 1063173466
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Sumeet Pandhoh, Owner(503) 295-2120
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1710 Ne 122nd Ave
Portland, OR 97230-1939
Phone: (503) 295-2120
Fax: (503) 305-3342
Street-level locationGet directions
Mailing address
Po Box 920050
Dallas, TX 75392-0050
Other names (DBA / former)
- Doing business as
- Russell Modern Dentistry
Registry dates
- Enumerated
- 2022-01-07
- Last updated
- 2022-01-07
- Certified
- 2022-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.