Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Bradly Kalb Russell, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1932490307

Dr. Bradly Kalb Russell, DDS is a Student in an Organized Health Care Education/Training Program in Winston Salem, North Carolina. Practices as a sole proprietor. Licensed in North Carolina and Ohio.

Licensed in
NC, OH
In the registry since
2011
Specialties on file
4
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Winston Salem, NC
Fax: (336) 765-9552

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 30.0239911 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 11536 (NC)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 30-023991 (OH)

Record details

NPI number1932490307
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 20, 2011
Last updated in NPPESOctober 6, 2021
Certification dateOctober 6, 2021

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