institution
Yellow Springs Dental Care John T Russell Dds Inc.
Dental Clinic/Center in Yellow Springs, Ohio
NPI 1568684140

Yellow Springs Dental Care John T Russell Dds Inc. is a Dental Clinic/Center based in Yellow Springs, OH and is specialized in Dental. Yellow Springs Dental Care John T Russell Dds Inc. practices in Yellow Springs, OH. The NPI Number for Yellow Springs Dental Care John T Russell Dds Inc. is 1568684140 and holds a License No. 30.013562 (Ohio).

The current practice location address for Yellow Springs Dental Care John T Russell Dds Inc. is 1030 Xenia Ave, Yellow Springs, OH and can be reached out via phone at 937-767-7731. You can also correspond with Yellow Springs Dental Care John T Russell Dds Inc. through the mailing address at 1030 XENIA AVE, YELLOW SPRINGS, OH - 45387-1632 (mailing address contact number: 937-767-7731).

Location: 1030 Xenia Ave, Yellow Springs, OH, 45387-1632
institution
Provider Profile Details
NPI Number
1568684140
Provider Name
Yellow Springs Dental Care John T Russell Dds Inc.
Credential
Provider Entity Type
Organization
Address
1030 Xenia Ave, Yellow Springs, OH, 45387-1632
Phone Number
937-767-7731
Fax Number
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DN16600 01 FL STATE
1679511489 01 OH NPI
30.013562 01 OH STATE
institution
Provider Business Practice Location Address Details
Address
1030 Xenia Ave
City
State
Zip
45387-1632
Phone Number
937-767-7731
Fax Number
person
Provider Business Mailing Address Details
Address
1030 Xenia Ave
City
State
Zip
45387-1632
Phone Number
937-767-7731
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
30.013562 (Ohio)
Definition
Definition to come...
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