Donald M Russell in Selma - Pediatric Dentistry
Donald M Russell - NPI 1952417479
Donald M Russell is a Pediatric Dentistry in Selma, Alabama. Donald M Russell practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Donald M Russell is 1952417479. The last update date is 2007-07-08.
Donald M Russell's current location address is 2425 Medical Center Pkwy, Selma, Alabama. You can contact this provider via phone number 3348751330 and fax number 3348756284. The mailing address for Donald M Russell is 2425 Medical Center Pkwy, Selma, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donald M Russell |
|---|---|
| Address | 2425 Medical Center Pkwy, Selma, Alabama |
| Phone Number | 3348751330 |
| Fax Number | 3348756284 |
| Sole Proprietor | Y |
| Credentials | D.M.D.,P.C |
NPI Number Detail
| NPI Number | 1952417479 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2425 Medical Center Pkwy |
|---|---|
| City | Selma |
| State | Alabama (AL) |
| Post Code | 367017756 |
| Phone Number | 3348751330 |
| Fax Number | 3348756284 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 3063 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 95993 | AL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Donald M Russell?
The Donald M Russell has been issued the NPI (National Provider Identifier) 1952417479 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Donald M Russell's facilities are geographically located?
The facilities of Donald M Russell are physically situated at the following location: 2425 Medical Center Pkwy, Selma, AL, 367017756.
What is Donald M Russell's area of expertise and its corresponding taxonomy classification?
The Donald M Russell's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
On what date did Donald M Russell receive its 1952417479 assignment from the Centers for Medicare & Medicaid Services?
The Donald M Russell was assigned its 1952417479 on 2006-08-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Donald M Russell's details last updated?
The information pertaining to the Donald M Russell, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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