Individual provider · Type 1 NPI

Kelli Russell

Dental Hygienist · Springfield, MO

NPI number 1245175892 Active

Practice location

2238 W Kingsley St
Springfield, MO 65807-5456

Mailing address

440 E Tampa St
Springfield, MO 65806-1131

Other practice locations

  • 440 E Tampa St, Springfield, MO 65806-1131 · (417) 831-0150

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X2002011659 (MO)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

3 other providers at this address

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About NPI 1245175892

Kelli Russell's National Provider Identifier is 1245175892, issued on Apr 21, 2026. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Springfield, MO. The record was last updated on Apr 21, 2026.