National Provider Identifier Database

MIKE A RUSSELL, DDS – NPI #1235214552
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

MIKE A RUSSELL, DDS
6721 GOVERNMENT STREET
SUITE A
BATON ROUGE, LA70806
Phone: 225-924-2636
Fax: 225-924-4424
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for MIKE A RUSSELL

NPI Number 1235214552
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/26/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • LA License #: LA4375
  • LA Medicaid: 1843750
  • LA Other: F1517 BLUE CROSS BLUE SHIELD
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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