Individual provider · Type 1 NPI

Carl M. Russell, DMD, PhD

Orthodontics and Dentofacial Orthopedics Dentistry · Canton, GA

NPI number 1902873276 Active

Practice location

6488 Hickory Flat Hwy
Canton, GA 30115-7235

Fax (770) 720-7580

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X11115 (GA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1902873276

Carl M. Russell, DMD, PhD's National Provider Identifier is 1902873276, issued on Mar 4, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Canton, GA. The record was last updated on Jul 13, 2026.