National Provider Identifier Database

WILLIAM DIRK RUSSELL, DMD – NPI #1114007887
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

WILLIAM DIRK RUSSELL, DMD
8014 CUMMING HWY SUITE 401
CANTON, GA30115
Phone: 770-345-2010
Fax: 770-345-0571
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for WILLIAM DIRK RUSSELL

NPI Number 1114007887
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 10/17/2006
Last updated 12/06/2021 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • KY License #: DN012158
Hospital affiliation n/a

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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