Russell Street Dental Associates,LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RUSSELL STREET DENTAL ASSOCIATES,LLC

Practice address

227 Russell St
Worcester, MA 01602-2126

Phone

(508) 791-1777

Fax

(508) 792-0244

NPI assigned

Aug 20, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert J Gauthier Jr., DMD

Title

Manager

Phone

(508) 791-1777

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Simply Dental at Worcester

  • Dental Clinic/Center
  • Worcester, MA
  • NPI 1285377812
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1023484375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 RUSSELL ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016022126",
            "telephone_number": "508-791-1777",
            "fax_number": "508-792-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 RUSSELL ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016022126",
            "telephone_number": "508-791-1777",
            "fax_number": "508-792-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL STREET DENTAL ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "GAUTHIER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "508-791-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbas H. Rupawala, M.D.
• Evan C. Ruppell, D.O.
• Sara Rushia, PHD
• Wayne Rushlow
• Russell D. Donnelly, M.D.,P.C.
• Tina Russell-Brown, CLINICIAN
• Catherine Russell
• Christine E Russell
• Concetta M Russell, PA
• Crystal Russell, RN

• Dental Clinic/Center in Worcester, MA
• Providers in Worcester, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.