DR. MARILYN A. RUSSELL DMD NPI 1912025784

NPI Information

NPI: 1912025784
Provider Name: DR. MARILYN A. RUSSELL, DMD
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

Address:
2844 LAKE PARK DR
JONESBORO, GA
ZIP 30236
Phone: (770) 478-8459
Get Directions

DR. Marilyn A. Russell, DMD is a periodontics dentist in Jonesboro, GA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Marilyn A. Russell, DMD NPI is 1912025784. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2844 LAKE PARK DR
JONESBORO, GA
ZIP 30236-133
Phone: (770) 478-8459
Fax: (770) 478-6026

The enumeration date for this NPI number is 3/27/2007 and was last updated on 7/9/2007.

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
1	1223P0300X	Dentist	Periodontics	008294	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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