Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Russell C Teasdale, DMD

Individual provider General Practice Dentistry · NPI 1083614689

Dr. Russell C Teasdale, DMD is a General Practice Dentistry in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2005.

Licensed in
OR
In the registry since
2005
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1316 SW 13th Ave
Portland, OR 97201
Phone: (503) 235-0555
Fax: (503) 224-5726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 5751 (OR)

Record details

NPI number1083614689
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 26, 2005
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023

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