OrganizationActive
Gregory S Russell, DMD, P.A.
NPI 1619267903 · Endodontics · Berlin, MD
Gregory S Russell, DMD, P.A. is a Endodontics organization in Berlin, MD (NPI 1619267903).
Provider details
- NPI number
- 1619267903
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Gregory Russell, President(410) 208-3333
- License
- 13423 (MD)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
11200 Racetrack Rd Ste 204
Berlin, MD 21811-3808
Phone: (410) 208-3333
Fax: (410) 208-3330
Street-level locationGet directions
Mailing address
11200 Racetrack Rd Ste 204
Berlin, MD 21811-3808
Registry dates
- Enumerated
- 2011-04-08
- Last updated
- 2014-12-23
Frequently asked questions
- What is Gregory S Russell, DMD, P.A.'s NPI number?
- Gregory S Russell, DMD, P.A.'s National Provider Identifier (NPI) is 1619267903, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gregory S Russell, DMD, P.A.?
- Gregory S Russell, DMD, P.A. is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is Gregory S Russell, DMD, P.A. located?
- Gregory S Russell, DMD, P.A.'s practice location on file with NPPES is 11200 Racetrack Rd Ste 204, Berlin, MD 21811-3808.
- What is Gregory S Russell, DMD, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Gregory S Russell, DMD, P.A. is (410) 208-3333.
- Who is the authorized official for Gregory S Russell, DMD, P.A.?
- The authorized official listed on Gregory S Russell, DMD, P.A.'s NPPES record is Gregory Russell, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gregory S Russell, DMD, P.A.'s NPI active?
- Yes — Gregory S Russell, DMD, P.A.'s NPI (1619267903) is active in the NPPES registry as of the last update on 2014-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.