Russell Laroy Christian in Mount Horeb - General Practice
Russell Laroy Christian - NPI 1336149525
Russell Laroy Christian is a General Practice in Mount Horeb, Wisconsin. Russell Laroy Christian practices all healthcare services and medical treatments related to General Practice. The NPI Number for Russell Laroy Christian is 1336149525. The last update date is 2022-12-21.
Russell Laroy Christian's current location address is 522 Springdale St, Mount Horeb, Wisconsin. You can contact this provider via phone number 6084375564 and fax number 6084378790. The mailing address for Russell Laroy Christian is 522 Springdale St, Mount Horeb, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Laroy Christian |
|---|---|
| Address | 522 Springdale St, Mount Horeb, Wisconsin |
| Phone Number | 6084375564 |
| Fax Number | 6084378790 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1336149525 |
|---|---|
| Provider Enumeration Date | 2005-07-28 |
| Last Updated Date | 2022-12-21 |
Provider Mailing Address Detail
| Address | 522 Springdale St |
|---|---|
| City | Mount Horeb |
| State | Wisconsin (WI) |
| Post Code | 535721780 |
| Phone Number | 6084375564 |
| Fax Number | 6084378790 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4703-015 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1336149525 | WI | NPI |
Post Comment/ Review Below
What is the Russell Laroy Christian's unique identification number?
The Russell Laroy Christian has been assigned the NPI (National Provider Identifier) Number 1336149525 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Russell Laroy Christian?
The Russell Laroy Christian is physically situated at 522 Springdale St, in the city of Mount Horeb, state of WI, with the postal code 535721780.
What is Russell Laroy Christian's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Russell Laroy Christian's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1336149525 to Russell Laroy Christian?
The Centers for Medicare & Medicaid Services assigned the 1336149525 to Russell Laroy Christian on 2005-07-28.
When was the Russell Laroy Christian's information last updated?
The Russell Laroy Christian's information was last updated on 2022-12-21.