DR. STACEY W RUSSELL (NPI# 1811267487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811267487 |
| Entity Type | Individual |
| Full Name | DR. STACEY W RUSSELL |
| Credential | DDS |
| Practice Address |
22 Truck House Rd Ste 3 Severna Park MD 21146-2728 |
| Practice Telephone | 4106474269 |
| Practice Fax Number | 4105445910 |
| Mailing Telephone | 4106474269 |
| Mailing Fax Number | 4105445910 |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11897 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790206803 | Stacey Russell | Behavior Technician | 6 Naushon Rd, Sagamore Beach, MA 02562-2718 | 2017-06-28 |
| 1275945511 | Stacey Russell | Psychiatry & Neurology | 2006 S Loop 336 W Ste 500, Conroe, TX 77304 | 2014-05-21 |
| 1033462114 | Stacey Jo Russell | Physical Therapy Assistant | 4700 Nw Cliff View Dr, Riverside, MO 64150-1237 | 2012-10-26 |
| 1144577438 | Stacey Russell | Nurse Practitioner | 1945 Route 33, Neptune, NJ 07753-4859 | 2012-08-06 |
| 1538372388 | Stacey L Russell | Dentist | 132 Jefferson Hts, Catskill, NY 12414-1215 | 2007-05-08 |
| Street Address |
22 TRUCK HOUSE RD STE 3 |
| City | SEVERNA PARK |
| State | MD |
| Zip Code | 21146-2728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629082938 | Cheskis, Hooper, Schatz, Russell & Assc., LLC | Dentist | 22 Truck House Rd Ste 3, Severna Park, MD 21146-2728 | 2006-07-29 |
| 1417228081 | J. Lawrence Schatz | Dentist | 22 Truck House Rd Ste 3, Severna Park, MD 21146-2728 | 2012-01-13 |
| 1386914935 | Richard Yale Cheskis | Dentist | 22 Truck House Rd Ste 3, Severna Park, MD 21146-2728 | 2012-01-12 |
| 1427328087 | Lawrence W Hooper | Dentist | 22 Truck House Rd Ste 3, Severna Park, MD 21146-2728 | 2012-01-12 |
| 1831482348 | Paul Deasey | Dentist | 22 Truck House Rd Ste 3, Severna Park, MD 21146-2728 | 2011-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811538713 | Erin Maria Betz | Social Worker | 517 Benfield Blvd, Suite 102, Severna Park, MD 21146 | 2019-10-01 |
| 1912566753 | Thomas Brown Jr. | Optometrist | 139 Ritchie Highway, Suite B, Severna Park, MD 21146 | 2019-06-06 |
| 1063985901 | Nancy Mcdowell Lincoln-reynolds | Marriage & Family Therapist | Woods Counseling Center, 8 Cypress Creek Road, Severna Park, MD 21146 | 2019-01-03 |
| 1750865556 | Laura Hoelzer | Physical Therapist | 820 Ritchie Highway, Severna Park, MD 21146 | 2018-09-18 |
| 1316431653 | Severna Park Family Chiropractic, PC | Chiropractor | 846 Ritchie Hwy Ste 1b, Severna Park, MD 21146 | 2018-06-20 |
| 1164925202 | Mnr Industries, LLC | Clinic/Center | 153 Ritchie Hwy, Severna Park, MD 21146 | 2018-03-15 |
| 1649798281 | Lydia Ferguson | Behavior Technician | 645 Baltimore Annapolis Blvd Suite 216-217, Severna Park, MD 21146 | 2017-09-05 |
| 1477082873 | Laura Mennecke | Counselor | 479 Jumpers Hole Road, Suite 304b, Severna Park, MD 21146 | 2017-06-08 |
| 1689112682 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 143 Ritchie Highway N, Severna Park, MD 21146 | 2017-02-09 |
| 1396195384 | Amy Vance | Nurse Practitioner | 300 Mason Lord Drive, Baltimore, MD 21146 | 2016-06-21 |
| Find all providers in zip 21146 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265040984 | Moizza Rajan | Dentist | 780 Governor Ritchie Hwy Ste 30, Severna Park, MD 21146-4135 | 2020-07-20 |
| 1265082093 | Hilltop Dental LLC | Dentist | 605 Baltimore Annapolis Blvd Ste 1, Severna Park, MD 21146-3930 | 2019-09-13 |
| 1265971295 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 821 W Benfield Rd Ste 6, Severna Park, MD 21146-2220 | 2017-02-23 |
| 1164739124 | Kimberly Ann Fields | Dentist | 277 Berrywood Drive, Severna Park, MD 21146 | 2010-09-10 |
| 1467637082 | Denis Dean Sabins | Dentist | 28 Windward Dr, Severna Park, MD 21146-2444 | 2008-01-02 |
| 1154465490 | Patrick Michael Brophy | Dentist | 574 Richard Way, Severna Park, MD 21146-3527 | 2007-02-19 |
| 1174678718 | Mitra Madani | Dentist | 517 Benfield Rd, Suite 204, Severna Park, MD 21146-2527 | 2007-01-24 |
| 1467504126 | Robert O'brien | Dentist | 437 Ben Oaks Dr E, Severna Park, MD 21146-2206 | 2007-01-16 |
| 1952469488 | Paul J Kinsey | Dentist | 515 Benfield Road, Suite 202, Severna Park, MD 21146-2519 | 2006-12-05 |
| 1013007954 | Valerie Lynn Morgan-philbin | Dentist | 605 Baltimore Annapolis Blvd, Severna Park, MD 21146-3930 | 2006-10-13 |
| Find all providers in SEVERNA PARK | ||||
| City | SEVERNA PARK |
| Zip Code | 21146 |
Please comment or provide details below to improve the information on DR. STACEY W RUSSELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.