DR. BRADLY RUSSELL, DDS
Dentist - Oral and Maxillofacial Surgery
Active
Individual
NPI: 1932490307
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Dentist - Oral and Maxillofacial Surgery | 1223S0112X | No | 30-023991 (OH) |
Frequently Asked Questions
NPI 1932490307 is the National Provider Identifier for DR. BRADLY RUSSELL, DDS, a Dentist - Oral and Maxillofacial Surgery provider located in Winston Salem, NC. This NPI was enumerated on April 20, 2011.
DR. BRADLY RUSSELL, DDS practices at 1601 S HAWTHORNE RD, Winston Salem, NC 27103.
Quick Facts
- NPI
- 1932490307
- Type
- Individual
- Enumerated
- Apr 20, 2011
- Last Updated
- Oct 6, 2021
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