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Contact Information

CAMERON M RUSSELL, D.M.D., M.S.
1051 WEST 200 NORTH
SUITE A
KAYSVILLE, UT84037
 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 CAMERON M RUSSELL · (Male)

NPI Number 1639241094
Status Active
Credentials D.M.D., M.S.
Entity Individual
Enumeration date 11/14/2006
Last updated 08/17/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 5602508-9922
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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