DR. Andrew David Russell, D.D.S.

NPI #1790868685 in Brownsville, Tennessee

Provider Information

NPI Number
1790868685
Entity Type
Individual
Name
DR. Andrew David Russell, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Oct 23, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
130 PEACHTREE PLZ
ZIP Code
38012-2500
Phone
(731) 772-2107

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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Organizations

Provider Name
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