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Contact Information

RUSSELL ENDODONTICS, LLC
1051 W 200 N STE A
KAYSVILLE, UT84037-2412
 Phone: 801-498-7668
 Fax: 801-593-9581
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for RUSSELL ENDODONTICS LLC · (Female)

NPI Number 1578319950
Status Active
Credentials
Entity Individual
Enumeration date 04/26/2024
Last updated 04/26/2024 - About 2 years ago
Sole proprietor 1 Not specified
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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