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Dr. Tamara Dunn Russell, DMD
Pediatric Dentist in Cartersville, Georgia
NPI 1922166164

Tamara Dunn Russell is a Pediatric Dentist based in Cartersville, GA and is specialized in Pediatric Dentistry. Tamara Dunn Russell practices in Cartersville, GA and has the professional credentials of DMD. The NPI Number for Tamara Dunn Russell is 1922166164 and holds a License No. DN011041 (Georgia).

The current practice location address for Tamara Dunn Russell is 16 Felton Pl # B, Cartersville, GA and can be reached out via phone at 770-382-3536 and via fax at 770-382-1915.

Location: 16 Felton Pl # B, Cartersville, GA, 30120-2152
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922166164
Provider Name
Tamara Dunn Russell
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
16 Felton Pl # B, Cartersville, GA, 30120-2152
Phone Number
770-382-3536
Fax Number
770-382-1915
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100299 01 GA AVESIS MEDICAID
9181142 01 GA DORAL MEDICAID
00945128A 05 GA
institution
Provider Business Practice Location Address Details
Address
16 Felton Pl # B
City
Cartersville
State
Georgia
Zip
30120-2152
Phone Number
770-382-3536
Fax Number
770-382-1915
person
Provider Business Mailing Address Details
Address
16 Felton Pl # B
City
Cartersville
State
Georgia
Zip
30120-2152
Phone Number
770-382-3536
Fax Number
770-382-1915
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN011041 (Georgia)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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