person
Dr. Matthew Edward Russ, DMD
Student in an Organized Health Care Education/Training Program in Jackson, Mississippi
NPI 1588126395

Matthew Edward Russ is a Student in an Organized Health Care Education/Training Program based in Naperville, MS. Matthew Edward Russ practices in Jackson, MS and has the professional credentials of DMD. The NPI Number for Matthew Edward Russ is 1588126395 and holds a License No. (Mississippi).

The current practice location address for Matthew Edward Russ is 2500 N State St, Jackson, MS and can be reached out via phone at 601-815-9934.

Location: 2500 N State St, Jackson, MS, 60564-3112
person
Provider Profile Details
NPI Number
1588126395
Provider Name
Matthew Edward Russ
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2500 N State St, Jackson, MS, 60564-3112
Phone Number
601-815-9934
Fax Number
Provider Enumeration Date
04/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-815-9934
Fax Number
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-815-9934
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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