Sharon Russell DDS PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

14351 Issued in MD

Legal business name

SHARON RUSSELL DDS PC

Doing business as

The Maryland Oral Surgery Group

Practice address

9632 Pennsylvania Ave
Upper Marlboro, MD 20772-3670

Phone

(240) 478-7030

NPI assigned

Apr 11, 2012

Last updated

Apr 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sharon Sherise Russell, DDS

Title

Oral Surgeon

Phone

(240) 478-7030

Specialties & licenses 1

Addresses

Other names 1

• The Maryland Oral Surgery Group Doing business as

Locations

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1689930919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 OLD LARGO RD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207727811",
            "telephone_number": "240-478-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9632 PENNSYLVANIA AVE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723670",
            "telephone_number": "240-478-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON RUSSELL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "SHERISE",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "240-478-7030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "14351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Maryland Oral Surgery Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sapan Hemant Shah, M.D.
• Latoya Shallow, PMHNP-BC
• Shalom Homes, Inc
• Shalom Nursing Care Inc
• Sharon Russell DDS PC (The Maryland Oral Surgery Group)
• Kirsten Sharp
• Kyerra Sharpe, BEHAVIOR TECHNICIAN
• Kymberly Candice Sharpe, RN
• Chioma Shaw, BEHAVIOR TECHNICIAN
• Katoya Nicole Shaw, HAIR LOSS SPECIALIST

• Oral and Maxillofacial Surgery (Dentist) in Upper Marlboro, MD
• Providers in Upper Marlboro, 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 Apr 11, 2012; 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.