DR. Jason Edward Russell, D.D.S.
NPI #1457644619 in High Point, North Carolina
Provider Information
- NPI Number
- 1457644619
- Entity Type
- Individual
- Name
- DR. Jason Edward Russell, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- May 20, 2011
- Last Updated
- May 20, 2011
Practice Location
- Address
- 510 FERNDALE BLVD
- City
- High Point
- State
- North Carolina
- ZIP Code
- 27262-4761
- Phone
- (336) 402-3313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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