Larry Doby Russell is a Dentist in Phoenix, Arizona. Larry Doby Russell practices all healthcare services and medical treatments related to Dentist. The NPI Number for Larry Doby Russell is 1053500975. The last update date is 2007-10-16.
Larry Doby Russell's current location address is 519 W Euclid Ave, Phoenix, Arizona. You can contact this provider via phone number 6023126003. The mailing address for Larry Doby Russell is 519 W Euclid Ave, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | Larry Doby Russell |
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Address | 519 W Euclid Ave, Phoenix, Arizona |
Phone Number | 6023126003 |
Fax Number | |
Sole Proprietor | Y |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1053500975 |
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Provider Enumeration Date | 2007-10-16 |
Last Updated Date | 2007-10-16 |
Provider Mailing Address Detail
Address | 519 W Euclid Ave |
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City | Phoenix |
State | Arizona (AZ) |
Post Code | 850418440 |
Phone Number | 6023126003 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 5177 |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identifier code issued to Larry Doby Russell by the Centers for Medicare & Medicaid Services?
The Larry Doby Russell has been assigned the NPI (National Provider Identifier) 1053500975. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Larry Doby Russell's physical address?
The Larry Doby Russell is physically located at 519 W Euclid Ave, in the city of Phoenix, AZ, with the postal code 850418440.
What is the area of specialization for Larry Doby Russell, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Larry Doby Russell is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date was the 1053500975 assigned to Larry Doby Russell?
The Larry Doby Russell was issued its 1053500975 on 2007-10-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Larry Doby Russell's details last updated?
The information pertaining to the Larry Doby Russell, including its address, specialty, and other details, was most recently updated on 2007-10-16.