Russett-Collett, Susan J

Russett-Collett, Susan J is an individual health care provider with primary practice located at 888 Brighton Ave , Portland ME 04102-1004. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Russett-Collett, Susan J can be contacted via phone (207) 772-4111.

Contact Information

Primary practice address
888 Brighton Ave Portland ME 04102-1004
Phone: (207) 772-4111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 3008 Maine

Profile Details

NPI number 1083650436
LBN Legal business name Russett-Collett, Susan J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jul 8th, 2007 - about 19 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.

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