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

Dr. Randall J Russell, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013170968

Dr. Randall J Russell, DDS is an Oral Surgery in Centennial, Colorado. Graduated from Virginia Commonwealth Univ School of Dentistry in 2008, 18 years ago. Practices with Trauma and Emergency Subspecialty Surgeons PLLC, a 25-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
18
Trained at
Virginia Commonwealth Univ School of Dentistry
Licensed in
CO
In the registry since
2008
Specialties on file
2
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.

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Practice location Address checks out

20971 E Smoky Hill Rd Ste 201
Centennial, CO 80015-5186
Phone: (720) 870-1451
Fax: (720) 870-1456
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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 DEN.00201913 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013170968
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 9, 2008
Last updated in NPPESMarch 11, 2013
Mailing address20971 E Smoky Hill Rd, Suite 201, Centennial, CO 80015-5186

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolVIRGINIA COMMONWEALTH UNIV SCHOOL OF DENTISTRY
Graduated 2008 (18 years in practice)
Group practice Trauma And Emergency Subspecialty Surgeons Pllc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Centennial