DR. Randall J Russell, D.D.S. is an oral and maxillofacial surgery dentist in Centennial, CO. The provider is an oral and maxillofacial surgery dentist specialized in 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. DR. Randall J Russell, D.D.S. NPI is 1013170968. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
20971 E SMOKY HILL RD
SUITE 201
CENTENNIAL, CO
ZIP 80015-186
Phone: (720) 870-1451
Fax: (720) 870-1456
The NPI 1013170968 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 7/9/2008 and was last updated on 3/11/2013.