Individual provider · Type 1 NPI

Larry Doby Russell, DDS

Dentist · Phoenix, AZ

NPI number 1053500975 Active

Practice location

519 W Euclid Ave
Phoenix, AZ 85041-8440

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X5177 (AZ)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1053500975

Larry Doby Russell, DDS's National Provider Identifier is 1053500975, issued on Oct 16, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 16, 2007.