Mr Edward Riley Russell, DDS - Dentist in Twain Harte, CA

Mr Edward Riley Russell, DDS is a Dentist based in Twain Harte, California. Mr Edward Riley Russell is licensed to practice in California (license number 23457) and his current practice location is 22629 Twain Harte Dr, Twain Harte, California. He can be reached at his office (for appointments etc.) via phone at (209) 586-2772.

NPI number for Mr Edward Riley Russell is 1780691931 and his current mailing address is 22629 Twain Harte Dr, Twain Harte, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780691931.

Contact Information

Mr Edward Riley Russell, DDS
22629 Twain Harte Dr,
Twain Harte, CA 95383
(209) 586-2772
(209) 586-4612



Healthcare Provider's Profile

Full NameMr Edward Riley Russell
GenderMale
SpecialityDentist
Location22629 Twain Harte Dr, Twain Harte, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1780691931
  • Provider Enumeration Date: 08/01/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Edward Riley Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780691931NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 23457 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Edward Riley Russell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Edward Riley Russell, DDS
22629 Twain Harte Dr,
Twain Harte, CA 95383

Ph: (209) 586-2772
Mr Edward Riley Russell, DDS
22629 Twain Harte Dr,
Twain Harte, CA 95383

Ph: (209) 586-2772

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› Verified 6 days ago


Dentist in Twain Harte, CA

Dr. Harold C Mckelvey, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 22629 Twain Harte Dr, Twain Harte, CA 95383
Phone: 209-586-2772    Fax: 209-686-4612
Trevor Robert Norman Thorn, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 22629 Twain Harte Dr, Twain Harte, CA 95383
Phone: 209-586-2772    Fax: 209-586-4612
Mr. Michael J. Morrison, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 18442 Marquis Dr., Twain Harte, CA 95383
Phone: 209-586-3685    Fax: 209-586-5149
Dr. Phillip Grossman, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 22629 Twain Harte Dr, Twain Harte, CA 95383
Phone: 209-586-2772    Fax: 209-586-4612
Robert Marvin Crawford,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 22629 Twain Harte Dr, Twain Harte, CA 95383
Phone: 209-586-2772    

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