National Provider Identifier Database

KENNETH W RUSSELL, DDS – NPI #1164510665
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

KENNETH W RUSSELL, DDS
17121 SE 270TH PLACE
COVINGTON, WA98042
Phone: 253-630-5500
Fax: 253-630-2930
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for KENNETH W RUSSELL

NPI Number 1164510665
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/10/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • WA License #: 5098
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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