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Contact Information

DAVID R RUSSELL DMDPC, DBA'RISING SUN DENTAL CARE'
301 STATE DRIVE
ELIZABETHVILLE, PA17023
 Phone: 717-692-4847
 Fax: 717-692-4848
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DAVID R RUSSELL DMDPC DBARISING SUN DENTAL CARE · (Female)

NPI Number 1295981850
Status Active
Credentials
Entity Individual
Enumeration date 08/14/2008
Last updated 05/29/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # DS037223
  • PA License # DS108472
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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