John Russell, Iii, D.m.d., PA
NPI #1184721367 in Columbus, Mississippi
Provider Information
- NPI Number
- 1184721367
- Entity Type
- Organization
- Organization Name
- John Russell, Iii, D.m.d., PA
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Apr 10, 2009
Practice Location
- Address
- 206 BROOKMOORE DRIVE
- City
- Columbus
- State
- Mississippi
- ZIP Code
- 39705
- Phone
- (662) 328-1521
Authorized Official
- Name
- DR. JOHN RUSSELL III, DMD
- Title
- PRESIDENT
- Phone
- (662) 328-1521
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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