person
Mr. Mike August Russell, DDS
General Practice Dentistry in Baton Rouge, Louisiana
NPI 1235214552

Mike August Russell is a General Practice Dentistry based in Denham Springs, LA and is specialized in General Practice. Mike August Russell practices in Baton Rouge, LA and has the professional credentials of DDS. The NPI Number for Mike August Russell is 1235214552 and holds a License No. LA4375 (Louisiana).

The current practice location address for Mike August Russell is 6721 Government Street, Baton Rouge, LA and can be reached out via phone at 225-924-2636 and via fax at 225-924-4424.

Location: 6721 Government Street, Baton Rouge, LA, 70726
person
Provider Profile Details
NPI Number
1235214552
Provider Name
Mike August Russell
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
6721 Government Street, Baton Rouge, LA, 70726
Phone Number
225-924-2636
Fax Number
225-924-4424
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1843750 05 LA
F1517 01 LA BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
6721 Government Street
City
State
Zip
70806
Phone Number
225-924-2636
Fax Number
225-924-4424
person
Provider Business Mailing Address Details
Address
6721 Government Street
City
State
Zip
70806
Phone Number
225-924-2636
Fax Number
225-924-4424
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
LA4375 (Louisiana)
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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