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Kenneth R,. Russell, D.d.s. Pa
General Practice Dentistry in Winston Salem, North Carolina
NPI 1902081094

Kenneth R,. Russell, D.d.s. Pa is a General Practice Dentistry based in Winston Salem, NC and is specialized in General Practice. Kenneth R,. Russell, D.d.s. Pa practices in Winston Salem, NC. The NPI Number for Kenneth R,. Russell, D.d.s. Pa is 1902081094 and holds a License No. 5843 (North Carolina).

The current practice location address for Kenneth R,. Russell, D.d.s. Pa is 1480 Rymco Dr Ste B, Winston Salem, NC and can be reached out via phone at 336-768-7940 and via fax at 336-768-5985.

Location: 1480 Rymco Dr Ste B, Winston Salem, NC, 27103-2944
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902081094
Provider Name
Kenneth R,. Russell, D.d.s. Pa
Credential
Provider Entity Type
Organization
Address
1480 Rymco Dr Ste B, Winston Salem, NC, 27103-2944
Phone Number
336-768-7940
Fax Number
336-768-5985
Provider Enumeration Date
01/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
890195B 05 NC
institution
Provider Business Practice Location Address Details
Address
1480 Rymco Dr Ste B
City
Winston Salem
State
North Carolina
Zip
27103-2944
Phone Number
336-768-7940
Fax Number
336-768-5985
person
Provider Business Mailing Address Details
Address
1480 Rymco Dr Ste B
City
Winston Salem
State
North Carolina
Zip
27103-2944
Phone Number
336-768-7940
Fax Number
336-768-5985
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
5843 (North Carolina)
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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