DR. Brock Terry Russell, DMD

NPI #1346133576 in Surprise, Arizona

Provider Information

NPI Number: 1346133576
Entity Type: Individual
Name: DR. Brock Terry Russell, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: May 29, 2025
Last Updated: May 29, 2025

Practice Location

Address: 13761 N LITCHFIELD RD STE 103
City: Surprise
State: Arizona
ZIP Code: 85379-4272
Phone: (623) 975-3933

Specialties & Taxonomy Codes

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

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