John Thomas Russell in Annapolis - General Practice
John Thomas Russell - NPI 1811023963
John Thomas Russell is a General Practice in Annapolis, Maryland. John Thomas Russell practices all healthcare services and medical treatments related to General Practice. The NPI Number for John Thomas Russell is 1811023963. The last update date is 2007-07-08.
John Thomas Russell's current location address is 1116 West St, Annapolis, Maryland. You can contact this provider via phone number 4102687737 and fax number 4102684873. The mailing address for John Thomas Russell is 1116 West St, Annapolis, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Thomas Russell |
|---|---|
| Address | 1116 West St, Annapolis, Maryland |
| Phone Number | 4102687737 |
| Fax Number | 4102684873 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1811023963 |
|---|---|
| Provider Enumeration Date | 2007-02-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1116 West St |
|---|---|
| City | Annapolis |
| State | Maryland (MD) |
| Post Code | 214013608 |
| Phone Number | 4102687737 |
| Fax Number | 4102684873 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4511 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code issued to John Thomas Russell by the Centers for Medicare & Medicaid Services?
The John Thomas Russell has been assigned the NPI (National Provider Identifier) 1811023963 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of John Thomas Russell?
The John Thomas Russell is physically situated at 1116 West St, in the city of Annapolis, state of MD, with the postal code 214013608.
What is John Thomas Russell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John Thomas Russell is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1811023963 to John Thomas Russell?
The Centers for Medicare & Medicaid Services originally issued the 1811023963 to John Thomas Russell on 2007-02-25.
As of what date were the details pertaining to John Thomas Russell last refreshed?
The information related to the John Thomas Russell, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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