Roxann Russell in Tampa - Pediatric Dentistry

Roxann Russell - NPI 1922029347

Roxann Russell is a Pediatric Dentistry in Tampa, Florida. Roxann Russell practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Roxann Russell is 1922029347. The last update date is 2016-12-30.

Roxann Russell's current location address is 16688 N. Dale Mabry Hwy, Tampa, Florida. You can contact this provider via phone number 8133749695 and fax number 8133337323. The mailing address for Roxann Russell is 16688 N. Dale Mabry Hwy, Tampa, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Roxann Russell
Address 16688 N. Dale Mabry Hwy, Tampa, Florida
Phone Number 8133749695
Fax Number 8133337323
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1922029347
Provider Enumeration Date 2006-07-21
Last Updated Date 2016-12-30

Provider Mailing Address Detail

Address 16688 N. Dale Mabry Hwy
City Tampa
State Florida (FL)
Post Code 33618
Phone Number 8133749695
Fax Number 8133337323

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 16103
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
84500 FL --

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FAQs about Roxann Russell

What is the Roxann Russell's 1922029347?

The Roxann Russell's NPI (National Provider Identifier) Number is 1922029347. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Roxann Russell's physical address?

The Roxann Russell is physically located at 16688 N. Dale Mabry Hwy, in the city of Tampa, FL, with the postal code 33618.

What is Roxann Russell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Roxann Russell is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.

When was the Roxann Russell's 1922029347 issued?

The Roxann Russell's 1922029347 was issued on 2006-07-21.

As of what date were the Roxann Russell's details last updated?

The information pertaining to the Roxann Russell, including its address, specialty, and other details, was most recently updated on 2016-12-30.

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