RUSSELL K KIRK DDS PC NPI 1831361013

NPI Information

  • NPI: 1831361013
  • Provider Name: RUSSELL K KIRK, DDS, PC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: TENNESSEE IMPLANT & ORAL SURGERY
  • Address: 1409 WEST BADDOUR PARKWAY
    SUITE F
    LEBANON, TN
    ZIP 37087
  • Phone: (615) 453-7800

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NPI Details

RUSSELL K KIRK, DDS, PC is an oral and maxillofacial surgery dentist in Lebanon, TN. 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. RUSSELL K KIRK, DDS, PC NPI is 1831361013. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tennessee Implant & Oral Surgery.

The provider's business location address is:

1409 WEST BADDOUR PARKWAY
SUITE F
LEBANON, TN
ZIP 37087
Phone: (615) 453-7800
Fax: (615) 453-7858

The provider's authorized official is Russell Keith Kirk .
The authorized official title is President and has the following contact phone number (615) 453-7800.

The enumeration date for this NPI number is 3/28/2008 and was last updated on 5/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery7103TENNESSEEYes

What is NPI?

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This page was last updated on: 11/21/2025

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