Russell K Kirk, DDS, PC
Russell K Kirk, DDS, PC is an Oral and Maxillofacial Surgery (Dentist) in Lebanon, Tennessee. Licensed in Tennessee. Registered with an NPI since 2008.
- Licensed in
- TN
- In the registry since
- 2008
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1409 W Baddour Pkwy Ste FLebanon, TN 37087
Phone: (615) 453-7800
Fax: (615) 453-7858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence 7103 (TN) |
|---|
Record details
| NPI number | 1831361013 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Russell Kirk — President · (615) 453-7800 |
| Other names | Tennessee Implant & Oral Surgery |
| NPI enumerated | March 28, 2008 |
| Last updated in NPPES | May 3, 2011 |
| Mailing address | 1409 West Baddour Parkway, Suite F, Lebanon, TN 37087 |
Other providers in Lebanon
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Russell Keith Kirk, DDS
1409 W Baddour Pkwy Ste #F, Lebanon, TN 37087-2513 · (615) 453-7800