Kenneth R, . Russell, DDS PA
Kenneth R, . Russell, DDS PA is a General Practice Dentistry in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.
- Licensed in
- NC
- In the registry since
- 2008
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1480 Rymco Dr Ste BWinston Salem, NC 27103-2944
Phone: (336) 768-7940
Fax: (336) 768-5985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 5843 (NC) |
|---|
Record details
| NPI number | 1902081094 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Russell — President · (336) 768-7940 |
| NPI enumerated | January 8, 2008 |
| Last updated in NPPES | January 8, 2008 |
| Mailing address | 1480 Rymco Dr Ste B, Winston Salem, NC 27103-2944 |
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