Individual provider · Type 1 NPI

Jennifer Ann Russell, DDS

General Practice Dentistry · Green Bay, WI

NPI number 1508375130 Active

Practice location

2851 University Ave
Green Bay, WI 54311

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Dentistry Primary 1223G0001X1001792 (WI)

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 1508375130

Jennifer Ann Russell, DDS's National Provider Identifier is 1508375130, issued on Sep 27, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Green Bay, WI. The record was last updated on Feb 26, 2025.