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Dr. Donald M Russell JR., DMD,PC
Pediatric Dentist in Selma, Alabama
NPI 1952417479

Donald M Russell JR. is a Pediatric Dentist based in Selma, AL and is specialized in Pediatric Dentistry. Donald M Russell JR. practices in Selma, AL and has the professional credentials of DMD,PC. The NPI Number for Donald M Russell JR. is 1952417479 and holds a License No. 3063 (Alabama).

The current practice location address for Donald M Russell JR. is 2425 Medical Center Pkwy, Selma, AL and can be reached out via phone at 334-875-1330 and via fax at 334-875-6284.

Location: 2425 Medical Center Pkwy, Selma, AL, 36701-7756
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952417479
Provider Name
Donald M Russell JR.
Credential
DMD,PC
Provider Entity Type
Individual
Gender
Male
Address
2425 Medical Center Pkwy, Selma, AL, 36701-7756
Phone Number
334-875-1330
Fax Number
334-875-6284
Provider Enumeration Date
08/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000095993 05 AL
institution
Provider Business Practice Location Address Details
Address
2425 Medical Center Pkwy
City
Selma
State
Alabama
Zip
36701-7756
Phone Number
334-875-1330
Fax Number
334-875-6284
person
Provider Business Mailing Address Details
Address
2425 Medical Center Pkwy
City
Selma
State
Alabama
Zip
36701-7756
Phone Number
334-875-1330
Fax Number
334-875-6284
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
3063 (Alabama)
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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