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Deactivated NPI 1912093782 Deactivated / Inactive NPI Male Practitioner

Dr. Stephen D Russell , DDS

Dentist - General Practice • Tumwater, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Stephen Russell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 05, 2006
NPI Deactivation Date March 20, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Russell, DDS was a registered Dentist - General Practice practicing in Tumwater, WA. Throughout an active medical career spanning 11 years, Dr. Russell provided care at the practice location at 6344 LITTLEROCK RD SW until profile deactivation on 2017-03-20.

Practice Location & Contact Primary Location

Practice Address

6344 Littlerock Rd Sw

Tumwater, WA 985127332

Telephone 3609438182
Fax 3609433433
Associated Practice Facility / Clinic
🏢 S. Russell & Russell, Pllc Facility NPI 1548416159

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tumwater, WA

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

Practicing in Tumwater, 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 3495

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

7 Historical Events
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NPI Profile Deactivated March 20, 2017

Record deactivated on March 20, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 6344 LITTLEROCK RD SW, TUMWATER, WA 985127332 (Tel: 3609438182)

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Updated Business Mailing Address July 08, 2007

Registered at 6344 LITTLEROCK RD SW, TUMWATER, WA 985127332 (Tel: 3609438182)

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Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHEN RUSSELL, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #3495 in WA)

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Initial NPI Registration & Enumeration October 05, 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: 1912093782
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2006
Last Update: July 08, 2007
Deactivation Date: March 20, 2017

Mailing Address

6344 Littlerock Rd Sw

Tumwater, WA 985127332

Phone: 3609438182

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.