Individual provider · Type 1 NPI
Mike August Russell, DDS
General Practice Dentistry · Baton Rouge, LA
NPI number
1235214552
Active
Practice location
6721 Government Street, Suite A
Baton Rouge, LA 70806
Fax (225) 924-4424
Mailing address
7355 Latimer Drive
Denham Springs, LA 70726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | LA4375 (LA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1235214552
Mike August Russell, DDS's National Provider Identifier is 1235214552, issued on Oct 26, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Baton Rouge, LA. The record was last updated on Jul 8, 2007.