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Contact Information

JENNY S RUSSELL
115 WALNUT ST.
ELLINGTON, MO63638
 Phone: 573-663-3177
 Fax: 573-663-3188
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Assistant

126800000X
Indicates primary specialty

NPI Profile & details for JENNY S RUSSELL · (Female)

NPI # 1356437024
Status Active
Credentials
Entity Individual
Enumeration date 10/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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