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Russell Keith Kirk, DDS
Oral and Maxillofacial Surgery (Dentist) in Lebanon, Tennessee
NPI 1558322321

Russell Keith Kirk is a Oral and Maxillofacial Surgery (Dentist) based in Lebanon, TN and is specialized in Oral and Maxillofacial Surgery. Russell Keith Kirk practices in Lebanon, TN and has the professional credentials of DDS. The NPI Number for Russell Keith Kirk is 1558322321 and holds a License No. 7103 (Tennessee).

The current practice location address for Russell Keith Kirk is 1409 W Baddour Pkwy, Lebanon, TN and can be reached out via phone at 615-453-7800 and via fax at 615-453-7858.

Location: 1409 W Baddour Pkwy, Lebanon, TN, 37090-8101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558322321
Provider Name
Russell Keith Kirk
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1409 W Baddour Pkwy, Lebanon, TN, 37090-8101
Phone Number
615-453-7800
Fax Number
615-453-7858
Provider Enumeration Date
03/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1409 W Baddour Pkwy
City
Lebanon
State
Tennessee
Zip
37087-2513
Phone Number
615-453-7800
Fax Number
615-453-7858
person
Provider Business Mailing Address Details
Address
1409 W Baddour Pkwy
City
Lebanon
State
Tennessee
Zip
37087-2513
Phone Number
615-453-7800
Fax Number
615-453-7858
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
7103 (Tennessee)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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