National Provider Identifier
Russell Dipalma, DDS
Russell Dipalma, DDS is listed in the NPPES registry with a primary specialty of Dentist in Fredonia, NY and a listed phone number of (716) 673-9136.
Profile Overview
- NPI
- 1760744437
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- June 08, 2012
- Last Updated
- February 29, 2024
Practice Location
- 195 E Main St
- Fredonia, NY 14063-1409
Phone: (716) 673-9136
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1760744437
- Entity Type
- Individual
- Last Name
- Dipalma
- First Name
- Russell
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 195 E Main St
- Mailing City
- Fredonia
- Mailing State
- NY
- Mailing ZIP Code
- 14063-1409
- Mailing Country
- US
- Mailing Phone
- (716) 673-9136
- Mailing Fax
- (716) 679-2221
- Practice Street Address
- 195 E Main St
- Practice City
- Fredonia
- Practice State
- NY
- Practice ZIP Code
- 14063-1409
- Practice Country
- US
- Practice Phone
- (716) 673-9136
- Practice Fax
- (716) 679-2221
- Enumeration Date
- June 08, 2012
- Last Updated
- February 29, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- February 29, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)