Russell Endodontics, Llc | |
1051 W 200 N Ste A Kaysville UT 84037-2412 | |
(801) 498-7668 | |
(801) 593-9581 |
Full Name | Russell Endodontics, Llc |
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Speciality | Dentist - Endodontics |
Location | 1051 W 200 N Ste A, Kaysville, Utah |
Authorized Official Name and Position | Cameron Russell (ENDODONTIST, OWNER) |
Authorized Official Contact | 8014987668 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Russell Endodontics, Llc 1051 W 200 N Ste A Kaysville UT 84037-2412 Ph: (801) 498-7668 | Russell Endodontics, Llc 1051 W 200 N Ste A Kaysville UT 84037-2412 Ph: (801) 498-7668 |
NPI Number | 1578319950 |
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Provider Enumeration Date | 04/26/2024 |
Last Update Date | 04/26/2024 |
Identifier | Type | State | Issuer |
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1578319950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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