Sharon Russell DDS PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

SHARON RUSSELL DDS PC

Practice address

14300 Gallant Fox LN Ste 220
Bowie, MD 20715-4033

Phone

(301) 967-0183

Fax

(301) 576-5800

NPI assigned

Mar 21, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Mark Russell

Title

Operations Manager

Phone

(301) 967-0183

Specialties & licenses 1

Addresses

Other names 1

• The Maryland Oral Surgery Group and Implant Center of Bowie Doing business as

Locations

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1114629334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9632 MARLBORO PIKE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723767",
            "telephone_number": "301-967-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 GALLANT FOX LN STE 220",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154033",
            "telephone_number": "301-967-0183",
            "fax_number": "301-576-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON RUSSELL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "301-967-0183",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Maryland Oral Surgery Group and Implant Center of Bowie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neelofur Q Shah, M.D.
• Shahnaz K. Rao Mdpa
• Sherina Maryam Shamsa, LCPC
• Senaida Pearl Sharif-Ture
• Unknown Sharon Achi Niba
• Melika Shatergholi, D.D.S.
• Amber Shaut
• Jodie-Ann Shaw Hodge, MS, CCC-SLP
• Shekinah Loving Care
• Rosetta Sheku

• Oral and Maxillofacial Surgery (Dentist) in Bowie, MD
• Providers in Bowie, MD by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.