Individual provider · Type 1 NPI

Jonbrighton Childs Russell, DMD

Student in an Organized Health Care Education/Training Program · Memphis, TN

NPI number 1659863066 Active

Practice location

875 Union Ave
Memphis, TN 38103-3513

Call (901) 448-6200 Map

Mailing address

3801 Cardinal Ave
Memphis, TN 38111-6901

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1659863066

Jonbrighton Childs Russell, DMD's National Provider Identifier is 1659863066, issued on May 31, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Memphis, TN. The record was last updated on Aug 16, 2022.