DR. Michael A Russell, D.D.S.

NPI #1134139157 in Harrisville, Utah

Provider Information

NPI Number: 1134139157
Entity Type: Individual
Name: DR. Michael A Russell, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Aug 9, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2240 N HIGHWAY 89
Address 2: SUITE A
City: Harrisville
State: Utah
ZIP Code: 84404-2651
Phone: (801) 782-4745

Specialties & Taxonomy Codes

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

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Organizations

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