| Dr David Russell | |
|
660 Rising Sun Ln Millersburg PA 17061-1245 | |
| (717) 692-4847 | |
| (717) 692-4848 |
| Full Name | Dr David Russell |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 660 Rising Sun Ln, Millersburg, Pennsylvania |
| Authorized Official Name and Position | David R Russell (DENTIST) |
| Authorized Official Contact | 7176924847 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Russell 660 Rising Sun Ln Millersburg PA 17061-1245 Ph: (717) 692-4847 | Dr David Russell 660 Rising Sun Ln Millersburg PA 17061-1245 Ph: (717) 692-4847 |
| NPI Number | 1295981850 |
|---|---|
| Provider Enumeration Date | 08/14/2008 |
| Last Update Date | 08/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295981850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS108472 (Pennsylvania) | Primary |
| 1223G0001X | Dentist - General Practice | DS037223 (Pennsylvania) | Secondary |