National Provider Identifier Database

RANDALL J RUSSELL DDS PC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

RANDALL J RUSSELL DDS PC
20971 E SMOKY HILL RD
SUITE 201
CENTENNIAL, CO80015-5186
Phone: 720-870-1451
Fax: 720-870-1456
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for RANDALL J RUSSELL DDS PC

NPI Number 1811238264
Legal business name
LBN
RANDALL J RUSSELL DDS PC
Authorized official RANDALL RUSSELL - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/11/2013
Last updated 03/11/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • CO License #: DEN.00201913

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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