Individual provider · Type 1 NPI

John Douglas Russell, DDS

Dentist · Shasta Lake City, CA

NPI number 1902958077 Active

Practice location

4178 Ashby Court
Shasta Lake City, CA 96019

Fax (530) 275-9335

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X20042 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

About NPI 1902958077

John Douglas Russell, DDS's National Provider Identifier is 1902958077, issued on Jan 17, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Shasta Lake City, CA. The record was last updated on Jul 8, 2007.