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Contact Information

AMBER J RUSSELL, DMD
331 SIJAN AVE
WHITEMAN AFB, MO65305
 Phone: 660-687-2201
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for AMBER J RUSSELL · (Female)

NPI # 1376850909
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 09/02/2010
Last updated 01/10/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OR License # D9374
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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