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Contact Information

RUSSELL K WALL, DDS
221 W COLLEGE ST
BRANSON, MO65616
 Phone: 417-334-5999
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for RUSSELL K WALL · (Male)

NPI # 1235385428
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/07/2008
Last updated 08/07/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 14141
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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