DR. William Dirk Russell, D.M.D.

NPI #1114007887 in Canton, Georgia

Provider Information

NPI Number: 1114007887
Entity Type: Individual
Name: DR. William Dirk Russell, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Oct 17, 2006
Last Updated: Dec 6, 2021

Practice Location

Address: 8014 CUMMING HWY SUITE 401
City: Canton
State: Georgia
ZIP Code: 30115
Phone: (770) 345-2010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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