| Kenneth R,. Russell, D.d.s. Pa | |
|
1480 Rymco Dr Ste B Winston Salem NC 27103-2944 | |
| (336) 768-7940 | |
| (336) 768-5985 |
| Full Name | Kenneth R,. Russell, D.d.s. Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1480 Rymco Dr Ste B, Winston Salem, North Carolina |
| Authorized Official Name and Position | Kenneth Ray Russell (PRESIDENT) |
| Authorized Official Contact | 3367687940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth R,. Russell, D.d.s. Pa 1480 Rymco Dr Ste B Winston Salem NC 27103-2944 Ph: (336) 768-7940 | Kenneth R,. Russell, D.d.s. Pa 1480 Rymco Dr Ste B Winston Salem NC 27103-2944 Ph: (336) 768-7940 |
| NPI Number | 1902081094 |
|---|---|
| Provider Enumeration Date | 01/08/2008 |
| Last Update Date | 01/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902081094 | NPI | - | NPPES |
| 890195B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5843 (North Carolina) | Primary |
Charlotte Broughton, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Lockland Ave, Winston Salem, NC 27103 Phone: 336-722-7534 Fax: 336-722-4518 | |
Lisa R. Gaither Dmd P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1027 Hanes Mall Blvd, Winston Salem, NC 27103 Phone: 828-697-2826 | |
West Edge Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5595 Robin Lark Cir, Winston Salem, NC 27106 Phone: 743-999-7937 Fax: 743-999-7256 | |
Cuthrell, Dds And Mochnick, Dmd, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1341 Westgate Center Dr Ste B, Winston Salem, NC 27103 Phone: 336-765-3712 Fax: 336-760-0667 | |
Andrew C Geer Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3745 Reynolda Rd, Winston Salem, NC 27106 Phone: 336-922-2542 Fax: 336-922-1547 | |
Alterman & Dhillon Piedmont, Pplc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 336 E Hanes Mill Rd, Winston Salem, NC 27105 Phone: 336-450-2077 | |
Spangler, Lambert And Lipp, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1544 N Peace Haven Rd, Winston Salem, NC 27104 Phone: 336-768-1332 Fax: 336-768-9470 |