Russell Leon Harrison in Columbia - Periodontics
Russell Leon Harrison - NPI 1609945674
Russell Leon Harrison is a Periodontics in Columbia, Missouri. Russell Leon Harrison practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Russell Leon Harrison is 1609945674. The last update date is 2007-07-09.
Russell Leon Harrison's current location address is 33 E Broadway, Columbia, Missouri. You can contact this provider via phone number 5734490794 and fax number 5734437333. The mailing address for Russell Leon Harrison is 33 E Broadway, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Leon Harrison |
|---|---|
| Address | 33 E Broadway, Columbia, Missouri |
| Phone Number | 5734490794 |
| Fax Number | 5734437333 |
| Sole Proprietor | Y |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1609945674 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 33 E Broadway |
|---|---|
| City | Columbia |
| State | Missouri (MO) |
| Post Code | 652034207 |
| Phone Number | 5734490794 |
| Fax Number | 5734437333 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 10659 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique identifier code issued to Russell Leon Harrison by the Centers for Medicare & Medicaid Services?
The Russell Leon Harrison has been assigned the NPI (National Provider Identifier) 1609945674. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Russell Leon Harrison is geographically located?
The Russell Leon Harrison is physically situated at the following location: 33 E Broadway, Columbia, MO, 652034207.
What is Russell Leon Harrison's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Russell Leon Harrison is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1609945674 to Russell Leon Harrison?
The Centers for Medicare & Medicaid Services assigned the 1609945674 to Russell Leon Harrison on 2006-11-06.
As of what date were the details related to Russell Leon Harrison most recently updated or revised?
The information pertaining to Russell Leon Harrison, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.