Billy Dale Russom, D.D.S. is a general practice dentist in Corning, AR. The provider is 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. Billy Dale Russom, D.D.S. NPI is 1114013067. 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:
211 HOSPITAL DR
CORNING, AR
ZIP 72422-259
Phone: (870) 857-3557
Fax: (870) 857-5128
The NPI 1114013067 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 10/5/2006 and was last updated on 7/8/2007.