Individual provider · Type 1 NPI

Randall J. Russell, DDS

Oral and Maxillofacial Surgery (Dentist) · Centennial, CO

NPI number 1013170968 Active

Practice location

20971 E Smoky Hill Rd, Suite 201
Centennial, CO 80015-5186

Call (720) 870-1451 Map

Fax (720) 870-1456

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDEN.00201913 (CO)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1013170968

Randall J. Russell, DDS's National Provider Identifier is 1013170968, issued on Jul 9, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Centennial, CO. The record was last updated on Mar 11, 2013.