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Billy Dale Russom, DDS
General Practice Dentistry in Corning, Arkansas
NPI 1114013067

Billy Dale Russom is a General Practice Dentistry based in Corning, AR and is specialized in General Practice. Billy Dale Russom practices in Corning, AR and has the professional credentials of DDS. The NPI Number for Billy Dale Russom is 1114013067 and holds a License No. AR2169 (Arkansas).

The current practice location address for Billy Dale Russom is 211 Hospital Dr, Corning, AR and can be reached out via phone at 870-857-3557 and via fax at 870-857-5128.

Location: 211 Hospital Dr, Corning, AR, 72422-0435
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114013067
Provider Name
Billy Dale Russom
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
211 Hospital Dr, Corning, AR, 72422-0435
Phone Number
870-857-3557
Fax Number
870-857-5128
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
211 Hospital Dr
City
Corning
State
Arkansas
Zip
72422-7259
Phone Number
870-857-3557
Fax Number
870-857-5128
person
Provider Business Mailing Address Details
Address
211 Hospital Dr
City
Corning
State
Arkansas
Zip
72422-7259
Phone Number
870-857-3557
Fax Number
870-857-5128
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
AR2169 (Arkansas)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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