Individual provider · Type 1 NPI
Bradly Kalb Russell, DDS
Oral and Maxillofacial Surgery (Dentist) · Winston Salem, NC
NPI number
1932490307
Active
Practice location
1601 S Hawthorne Rd
Winston Salem, NC 27103-4127
Fax (336) 765-9552
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 30.0239911 (OH) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 11536 (NC) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 30-023991 (OH) |
Oral and Maxillofacial Surgery (Dentist): 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.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Winston Salem
- Mark T. Shehan, DDSOral and Maxillofacial Surgery (Dentist) Winston Salem, NC NPI 1083721906
- David Phillip Kretzschmar, DDS, M.S.Oral and Maxillofacial Surgery (Dentist) Winston Salem, NC NPI 1225121957
- James M. Walter Jr., DDS MSOral and Maxillofacial Surgery (Dentist) Winston Salem, NC NPI 1356364533
- Jeffrey B. Krutoy, DDS, MDOral and Maxillofacial Surgery (Dentist) Winston Salem, NC NPI 1477797850
- Jeffrey E. Aycock, DMDOral and Maxillofacial Surgery (Dentist) Winston Salem, NC NPI 1568693877
- Jason L. Ringeman, DDS, MDOral and Maxillofacial Surgery (Dentist) Winston Salem, NC NPI 1588874903
About NPI 1932490307
Bradly Kalb Russell, DDS's National Provider Identifier is 1932490307, issued on Apr 20, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Winston Salem, NC. The record was last updated on Oct 6, 2021.