Organization · Type 2 NPI

Randall J Russell DDS PC

Oral and Maxillofacial Surgery Clinic/Center · Centennial, CO

NPI number 1811238264 Active

Practice location

20971 E Smoky Hill Rd, Suite 201
Centennial, CO 80015-5186

Call (720) 870-1451 Map

Fax (720) 870-1456

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery Clinic/Center Primary 261QS0112XDEN.00201913 (CO)

Oral and Maxillofacial Surgery Clinic/Center: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

19 other providers at this address

About NPI 1811238264

Randall J Russell DDS PC's National Provider Identifier is 1811238264, issued on Mar 11, 2013. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Centennial, CO. The record was last updated on Mar 11, 2013.