OrganizationActive
Russell DDS PC
NPI 1104249465 · General Practice Dentistry · Bremerton, WA
Russell DDS PC is a General Practice Dentistry organization in Bremerton, WA (NPI 1104249465).
Provider details
- NPI number
- 1104249465
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Nathan Russell, Doctor/Owner(360) 377-7621
- License
- DE00009670 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
930 Park Ave
Bremerton, WA 98337-1551
Phone: (360) 377-7621
Fax: (360) 377-6265
Street-level locationGet directions
Mailing address
930 Park Ave
Bremerton, WA 98337-1551
Other names (DBA / former)
- Doing business as
- Bremerton Dental
Registry dates
- Enumerated
- 2014-01-22
- Last updated
- 2014-01-22
Frequently asked questions
- What is Russell DDS PC's NPI number?
- Russell DDS PC's National Provider Identifier (NPI) is 1104249465, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Russell DDS PC?
- Russell DDS PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Russell DDS PC located?
- Russell DDS PC's practice location on file with NPPES is 930 Park Ave, Bremerton, WA 98337-1551.
- What is Russell DDS PC's phone number?
- The practice phone number listed in the NPPES registry for Russell DDS PC is (360) 377-7621.
- Who is the authorized official for Russell DDS PC?
- The authorized official listed on Russell DDS PC's NPPES record is Nathan Russell, Doctor/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Russell DDS PC's NPI active?
- Yes — Russell DDS PC's NPI (1104249465) is active in the NPPES registry as of the last update on 2014-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.