Bibb, Russell Eugene

Bibb, Russell Eugene is an individual health care provider with primary practice located at 103 Sw Hwy 224 Ste A, Estacada OR 97023. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bibb, Russell Eugene can be contacted via phone (503) 630-4211.

Contact Information

Primary practice address
103 Sw Hwy 224 Ste A Estacada OR 97023
Fax: (503) 630-4260
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X AD6154 Oregon

Profile Details

NPI number 1598866154
LBN Legal business name Bibb, Russell Eugene
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598866154 NPPES
Oregon MEDICAID 22197-8
Oregon Other AD6154

Popular Providers