Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558764845 Individual Practitioner Male Practitioner

Dr. Russell John Stephens , DDS

Dentist - General Practice • Newport, WA

Professional Overview & Biography Verified Profile Summary

Dr. Russell Stephens, DDS is a registered healthcare professional specializing in Dentist - General Practice in Newport, WA. Practice services are available at 424 N. WARREN AVE. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

424 N. Warren Ave.

Newport, WA 99156

Telephone 5094475960
Fax 5755722259
Associated Practice Facility / Clinic
🏢 Ivory Dental Pllc Facility NPI 1275027591

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Newport, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Newport, WA (3345 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 WA DE60851015

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License UT 9051997-9921

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

15 Associated Practitioners
Anne Rivera , RD

Dietitian, Registered

NPI 1003265299

Registered Dietitian

Dr. Wayne Lemley , DDS

Dentist - General Practice

NPI 1114090545

Doctor of Dental Surgery

Dr. George Garcia , MD

Family Medicine

NPI 1174557672

Doctor of Medicine (M.D.)

NPI 1255744652

Doctor of Medicine (M.D.)

Debra Smith , RNC, MS, WHNP

Nurse Practitioner - Women's Health

NPI 1275500878

RNC, Master of Science, Women's Health Nurse Practitioner

Angelita Baker , LCSW

Social Worker - Clinical

NPI 1356898613

Licensed Clinical Social Worker

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location July 11, 2018

Registered at 424 N. WARREN AVE., NEWPORT, WA 99156 (Tel: 5094475960)

📍
Updated Business Mailing Address July 11, 2018

Registered at 424 N. WARREN AVE., NEWPORT, WA 99156 (Tel: 5094475960)

📍
Updated Practice Location April 20, 2018

Registered at 49TH MEDICAL GROUP/SGPD, 280 FIRST STREET, BLDG 23, HOLLOMAN AFB, NM 883308273 (Tel: 5755723742)

📍
Updated Business Mailing Address April 20, 2018

Registered at 49TH MEDICAL GROUP/SGPD, 280 FIRST STREET, BLDG 23, HOLLOMAN AFB, NM 883308273 (Tel: 5755723742)

👤
Provider Name / Credentials Updated April 20, 2018

Recorded as RUSSELL STEPHENS, D.D.S.

NPI Profile Active October 01, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 01, 2014

Registered at 2681 W HARVEST LN, WEST JORDAN, UT 840843130 (Tel: 8015208664)

📍
Updated Business Mailing Address October 01, 2014

Registered at 2681 W HARVEST LN, WEST JORDAN, UT 840843130 (Tel: 8015208664)

👤
Provider Name / Credentials Updated October 01, 2014

Recorded as RUSSELL STEPHENS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2014

Dentist (License #9051997-9921 in UT)

🟢
Initial NPI Registration & Enumeration October 01, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1558764845
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 01, 2014
Last Update: July 11, 2018
Sole Proprietor: Yes

Mailing Address

424 N. Warren Ave.

Newport, WA 99156

Phone: 5094475960

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.