person
Brett V Russell, DDS
General Practice Dentistry in Columbia, Missouri
NPI 1306053988

Brett V Russell is a General Practice Dentistry based in Columbia, MO and is specialized in General Practice. Brett V Russell practices in Columbia, MO and has the professional credentials of DDS. The NPI Number for Brett V Russell is 1306053988 and holds a License No. 12933 (Missouri).

The current practice location address for Brett V Russell is 2310 Forum Blvd, Columbia, MO and can be reached out via phone at 573-446-0032 and via fax at 573-446-0238.

Location: 2310 Forum Blvd, Columbia, MO, 65203-5461
person
Provider Profile Details
NPI Number
1306053988
Provider Name
Brett V Russell
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2310 Forum Blvd, Columbia, MO, 65203-5461
Phone Number
573-446-0032
Fax Number
573-446-0238
Provider Enumeration Date
05/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103550 01 MO BLUE CROSS BLUE SHIELD
860382 01 MO UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
2310 Forum Blvd
City
State
Zip
65203-5461
Phone Number
573-446-0032
Fax Number
573-446-0238
person
Provider Business Mailing Address Details
Address
2310 Forum Blvd
City
State
Zip
65203-5461
Phone Number
573-446-0032
Fax Number
573-446-0238
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
12933 (Missouri)
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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