person
Dr. Jason Philip Russell, DMD
General Practice Dentistry in Louisville, Kentucky
NPI 1285622449

Jason Philip Russell is a General Practice Dentistry based in Louisville, KY and is specialized in General Practice. Jason Philip Russell practices in Louisville, KY and has the professional credentials of DMD. The NPI Number for Jason Philip Russell is 1285622449 and holds a License No. 7604 (Kentucky).

The current practice location address for Jason Philip Russell is 2416 Frankfort Ave, Louisville, KY and can be reached out via phone at 502-893-1990 and via fax at 502-893-3690.

Location: 2416 Frankfort Ave, Louisville, KY, 40206-2571
person
Provider Profile Details
NPI Number
1285622449
Provider Name
Jason Philip Russell
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2416 Frankfort Ave, Louisville, KY, 40206-2571
Phone Number
502-893-1990
Fax Number
502-893-3690
Provider Enumeration Date
10/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0015111 01 KY PASSPORT PROVIDER NO.
institution
Provider Business Practice Location Address Details
Address
2416 Frankfort Ave
City
State
Zip
40206-2571
Phone Number
502-893-1990
Fax Number
502-893-3690
person
Provider Business Mailing Address Details
Address
2416 Frankfort Ave
City
State
Zip
40206-2571
Phone Number
502-893-1990
Fax Number
502-893-3690
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
7604 (Kentucky)
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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