RICKY RUSSELL, DDS
Dentist
Active
Individual
NPI: 1407963622
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | DS0000003565 (TN) |
Frequently Asked Questions
NPI 1407963622 is the National Provider Identifier for RICKY RUSSELL, DDS, a Dentist provider located in Smyrna, TN. This NPI was enumerated on August 24, 2006.
RICKY RUSSELL, DDS practices at 526 LEGACY DR, STE 100, Smyrna, TN 37167.
Quick Facts
- NPI
- 1407963622
- Type
- Individual
- Enumerated
- Aug 24, 2006
- Last Updated
- Jul 8, 2007
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