Emilie Caron Russell, DMD
NPI #1992475438 in Tupelo, Mississippi
Provider Information
- NPI Number
- 1992475438
- Entity Type
- Individual
- Name
- Emilie Caron Russell, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Sep 16, 2021
- Last Updated
- Sep 16, 2021
Practice Location
- Address
- 101 PARK GATE DR
- City
- Tupelo
- State
- Mississippi
- ZIP Code
- 38801-3033
- Phone
- (662) 840-1535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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