Individual provider · Type 1 NPI

Kenneth R. Russell, DDS

General Practice Dentistry · Winston Salem, NC

NPI number 1366543258 Active

About NPI 1366543258

Kenneth R. Russell, DDS's National Provider Identifier is 1366543258, issued on Sep 26, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Winston Salem, NC. The record was last updated on Jul 9, 2007.