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Dr. Lisa Marie Russell, DMD
Orthodontics and Dentofacial Orthopedic Dentist in Hannibal, Missouri
NPI 1700150976

Lisa Marie Russell is a Orthodontics and Dentofacial Orthopedic Dentist based in Hannibal, MO and is specialized in Orthodontics and Dentofacial Orthopedics. Lisa Marie Russell practices in Hannibal, MO and has the professional credentials of DMD. The NPI Number for Lisa Marie Russell is 1700150976 and holds a License No. 2011028140 (Missouri).

The current practice location address for Lisa Marie Russell is 655 Clinic Rd, Hannibal, MO and can be reached out via phone at 573-221-0001.

Location: 655 Clinic Rd, Hannibal, MO, 63401-3647
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700150976
Provider Name
Lisa Marie Russell
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
655 Clinic Rd, Hannibal, MO, 63401-3647
Phone Number
573-221-0001
Fax Number
Provider Enumeration Date
03/05/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
655 Clinic Rd
City
Hannibal
State
Missouri
Zip
63401-3647
Phone Number
573-221-0001
Fax Number
person
Provider Business Mailing Address Details
Address
655 Clinic Rd
City
Hannibal
State
Missouri
Zip
63401-3647
Phone Number
573-221-0001
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
2011028140 (Missouri)
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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