Kenneth R,. Russell, D.D.S. Pa in Winston Salem - General Practice
Kenneth R,. Russell, D.D.S. Pa - NPI 1902081094
Kenneth R,. Russell, D.D.S. Pa is a General Practice in Winston Salem, North Carolina. Kenneth R,. Russell, D.D.S. Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth R,. Russell, D.D.S. Pa is 1902081094. The last update date is 2008-01-08.
Kenneth R,. Russell, D.D.S. Pa's current location address is 1480 Rymco Dr Ste B, Winston Salem, North Carolina. You can contact this provider via phone number 3367687940 and fax number 3367685985. The mailing address for Kenneth R,. Russell, D.D.S. Pa is 1480 Rymco Dr Ste B, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kenneth R,. Russell, D.D.S. Pa |
|---|---|
| Address | 1480 Rymco Dr Ste B, Winston Salem, North Carolina |
| Phone Number | 3367687940 |
| Fax Number | 3367685985 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Russell Ray Kenneth |
| Credentials | D.D.S. |
| Telephone Number | 3367687940 |
NPI Number Detail
| NPI Number | 1902081094 |
|---|---|
| Provider Enumeration Date | 2008-01-08 |
| Last Updated Date | 2008-01-08 |
Provider Mailing Address Detail
| Address | 1480 Rymco Dr Ste B |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271032944 |
| Phone Number | 3367687940 |
| Fax Number | 3367685985 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5843 |
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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 |
|---|---|---|---|
| 890195B | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kenneth R,. Russell, D.D.S. Pa by the Centers for Medicare & Medicaid Services?
The Kenneth R,. Russell, D.D.S. Pa has been issued the NPI (National Provider Identifier) 1902081094 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kenneth R,. Russell, D.D.S. Pa?
The Kenneth R,. Russell, D.D.S. Pa is situated at 1480 Rymco Dr Ste B, in the city of Winston Salem, state of NC, with the zip code 271032944.
What is Kenneth R,. Russell, D.D.S. Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kenneth R,. Russell, D.D.S. Pa is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902081094 to Kenneth R,. Russell, D.D.S. Pa?
The Centers for Medicare & Medicaid Services originally issued the 1902081094 to Kenneth R,. Russell, D.D.S. Pa on 2008-01-08.
As of what date was the information pertaining to Kenneth R,. Russell, D.D.S. Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kenneth R,. Russell, D.D.S. Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-01-08.
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