Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154773869 Individual Practitioner Male Practitioner

Dr. Russell Powell , DDS

Dentist - General Practice • Caldwell, ID

Professional Overview & Biography Verified Profile Summary

Dr. Russell Powell, DDS is a registered healthcare professional specializing in Dentist - General Practice in Caldwell, ID. Practice services are available at 329 E LOGAN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

329 E Logan St

Caldwell, ID 836054863

Telephone 2084593388
Fax 2084539295
Associated Practice Facility / Clinic
🏢 Ideal Dental Facility NPI 1073891461

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Caldwell, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
13 Specialists

Practicing in Caldwell, ID (781 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ID D-4762

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 06, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 06, 2016

Registered at 329 E LOGAN ST, CALDWELL, ID 836054863 (Tel: 2084593388)

📍
Updated Business Mailing Address July 06, 2016

Registered at 1807 S CRIMSON ROSE AVE, BOISE, ID 837098228 (Tel: 2084400885)

👤
Provider Name / Credentials Updated July 06, 2016

Recorded as RUSSELL POWELL, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2016

Dentist (License #D-4762 in ID)

🟢
Initial NPI Registration & Enumeration July 06, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154773869
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2016
Last Update: July 06, 2016
Sole Proprietor: No

Mailing Address

1807 S Crimson Rose Ave

Boise, ID 837098228

Phone: 2084400885

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.