Provider Demographics
NPI:1316162118
Name:SCHLATTMAN, RUSSELL HENRY II (DDS)
Entity type:Individual
Prefix:DR
First Name:RUSSELL
Middle Name:HENRY
Last Name:SCHLATTMAN
Suffix:II
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:13303 CHAMPION FOREST DR
Mailing Address - Street 2:BLDG #7
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-2657
Mailing Address - Country:US
Mailing Address - Phone:281-444-2660
Mailing Address - Fax:281-444-0194
Practice Address - Street 1:13303 CHAMPION FOREST DR
Practice Address - Street 2:BLDG #7
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-2657
Practice Address - Country:US
Practice Address - Phone:281-444-0419
Practice Address - Fax:281-444-0194
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX95451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice