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

Keith Edmund Russell, DMD

Individual provider Dentist · NPI 1447328752

Keith Edmund Russell, DMD is a Dentist in Portland, Maine. Licensed in Maine. Registered with an NPI since 2006.

Licensed in
ME
In the registry since
2006
Specialties on file
2
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

495 Woodford St
Portland, ME 04103-2438
Phone: (207) 772-6966
Fax: (207) 761-0756
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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 3414 (ME)
Dentist Taxonomy 122300000X · Licence 3414 (ME)

Record details

NPI number1447328752
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedDecember 4, 2006
Last updated in NPPESMarch 20, 2023
Certification dateMarch 20, 2023

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