Individual provider · Type 1 NPI

Brock Terry Russell, DMD

General Practice Dentistry · Surprise, AZ

NPI number 1346133576 Active

Practice location

13761 N Litchfield Rd Ste 103
Surprise, AZ 85379-4272

Call (623) 975-3933 Map

Mailing address

2940 W Wagoner Rd
Phoenix, AZ 85053-1122

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	D012505 (AZ)

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.

3 other providers at this address

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About NPI 1346133576

Brock Terry Russell, DMD's National Provider Identifier is 1346133576, issued on May 29, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Surprise, AZ. The record was last updated on May 29, 2025.