Russell Dental Group, P.c.

NPI #1942297643 in Brownsville, Tennessee

Provider Information

NPI Number
1942297643
Entity Type
Organization
Organization Name
Russell Dental Group, P.c.
Primary Specialty
Dentist - General Practice
Enumeration Date
Sep 29, 2005
Last Updated
Aug 22, 2020

Practice Location

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

Authorized Official

Name
DR. THOMAS DUCKWORTH RUSSELL III, D.D.S.
Title
CORPORATION PRESIDENT, DENTIST
Phone
(731) 772-2107

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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