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Dr. Alan L Russell, DDS
General Practice Dentistry in Minneapolis, Minnesota
NPI 1124092119

Alan L Russell is a General Practice Dentistry based in Minneapolis, MN and is specialized in General Practice. Alan L Russell practices in Minneapolis, MN and has the professional credentials of DDS. The NPI Number for Alan L Russell is 1124092119 and holds a License No. 9480 (Minnesota).

The current practice location address for Alan L Russell is 2010 27Th Ave S, Minneapolis, MN and can be reached out via phone at 612-336-8478.

Location: 2010 27Th Ave S, Minneapolis, MN, 55406-1108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124092119
Provider Name
Alan L Russell
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2010 27Th Ave S, Minneapolis, MN, 55406-1108
Phone Number
612-336-8478
Fax Number
Provider Enumeration Date
02/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13D69RU 01 MN BLUE CROSS BLUE SHIELD ID
710609 01 MN UNITED OF CONCORDIA ID #
institution
Provider Business Practice Location Address Details
Address
2010 27Th Ave S
City
Minneapolis
State
Minnesota
Zip
55406-1108
Phone Number
612-336-8478
Fax Number
person
Provider Business Mailing Address Details
Address
2010 27Th Ave S
City
Minneapolis
State
Minnesota
Zip
55406-1108
Phone Number
612-336-8478
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
9480 (Minnesota)
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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