Dr Carl M Russell, DMD, PHD in Canton, GA - Medicare Dentist Provider

Dr Carl M Russell, DMD, PHD is a medicare enrolled "Dentist - Orthodontics And Dentofacial Orthopedics" provider in Canton, Georgia. His current practice location is 6488 Hickory Flat Hwy, Canton, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 720-8138.

Dr Carl M Russell is licensed to practice in Georgia (license number 11115) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902873276.

Contact Information

	Dr Carl M Russell, DMD, PHD
	6488 Hickory Flat Hwy, Canton, GA 30115-7235
	(770) 720-8138
	(770) 720-7580

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Carl M Russell
Gender	Male
Speciality	Dentist - Orthodontics And Dentofacial Orthopedics
Location	6488 Hickory Flat Hwy, Canton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902873276
Provider Enumeration Date: 03/04/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1052608395
Enrollment ID: I20160929001900

Medical Identifiers

Medical identifiers for Dr Carl M Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902873276	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223X0400X	Dentist - Orthodontics And Dentofacial Orthopedics	11115 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Carl M Russell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Carl M Russell, DMD, PHD 6488 Hickory Flat Hwy, Canton, GA 30115-7235 Ph: (770) 720-8138	Dr Carl M Russell, DMD, PHD 6488 Hickory Flat Hwy, Canton, GA 30115-7235 Ph: (770) 720-8138

Reviews and Comments

Dentist in Canton, GA

Dr. Stephen C Hutchins, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 218 Riverstone Dr, Canton, GA 30114 Phone: 770-479-3846 Fax: 770-479-6815
Shaletha M Bolden, DDS, MSD Dentist Medicare: Medicare Enrolled Practice Location: 1425 Riverstone Pkwy Ste 200, Canton, GA 30114 Phone: 770-479-0600
Dr. Sydney Okonoboh, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2030 Cumming Hwy Ste 110, Canton, GA 30115 Phone: 678-818-8480
Dr. Brenda Gail Fritz, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 104 Prominence Point Pkwy, Suite 102, Canton, GA 30114 Phone: 770-345-2551 Fax: 770-345-2234
Dr. William Dirk Russell, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8014 Cumming Hwy Suite 401, Canton, GA 30115 Phone: 770-345-2010 Fax: 770-345-0571
Dr. Scott Vidar Merritt, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3755 Sixes Rd, Ste 100, Canton, GA 30114 Phone: 770-704-1812 Fax: 770-704-0379
Dr. Leigh Ann Patel, DMD, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12420 Cumming Hwy, Ste 306, Canton, GA 30115 Phone: 678-947-3600

Dr Carl M Russell, DMD, PHD - Medicare Dentist in Canton, GA