Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922168343 Individual Practitioner Male Practitioner

Dr. Benjamin T Russell , DMD

Dentist - Periodontics • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Russell, DMD is a registered healthcare professional specializing in Dentist - Periodontics in Gresham, OR. Practice services are available at 742 NE DIVISION ST STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

742 Ne Division St Ste 102

Gresham, OR 970303979

Telephone 5036672442
Associated Practice Facility / Clinic
🏢 Benjamin T Russell Dmd Llc Facility NPI 1881247039

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Periodontics in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 42.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Gresham, OR (83 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 - Periodontics Primary Specialty

NUCC Taxonomy Code: 1223P0300X

State License OR D8729

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Secondary Practice Locations

363 Se 4th Ave

Hillsboro, OR 971234281

Phone: 5037569046

2824 Ne Wasco St Ste 230

Portland, OR 972321772

Phone: 5039541372

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Sei Kim , DMD

Dentist - General Practice

NPI 1457703001

Doctor of Dental Medicine

Dr. Gerald Papador , DDS

Dentist - Periodontics

NPI 1598763427

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location July 17, 2019

Registered at 742 NE DIVISION ST STE 102, GRESHAM, OR 970303979 (Tel: 5036672442)

NPI Profile Active July 02, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2008

Registered at 363 SE 4TH AVE, HILLSBORO, OR 971234281 (Tel: 5037569046)

📍
Updated Business Mailing Address July 02, 2008

Registered at 363 SE 4TH AVE, HILLSBORO, OR 971234281 (Tel: 5037569046)

👤
Provider Name / Credentials Updated July 02, 2008

Recorded as BENJAMIN RUSSELL, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2008

Dentist (License #D8729 in OR)

🟢
Initial NPI Registration & Enumeration December 08, 2006

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: 1922168343
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2006
Last Update: July 17, 2019
Sole Proprietor: No

Mailing Address

363 Se 4th Ave

Hillsboro, OR 971234281

Phone: 5037569046

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.