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

Jennifer Ann Russell, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508375130

Jennifer Ann Russell, DDS is a Student in an Organized Health Care Education/Training Program in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2017.

Licensed in
WI
In the registry since
2017
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

2851 University Ave
Green Bay, WI 54311
Phone: (920) 431-2500
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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 1001792 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508375130
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 27, 2017
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025

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