DR. Bradly Kalb Russell, DDS is an oral and maxillofacial surgery dentist in Winston Salem, NC. 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. Bradly Kalb Russell, DDS NPI is 1932490307. 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:
1601 S HAWTHORNE RD
WINSTON SALEM, NC
ZIP 27103-127
Phone: (336) 765-9550
Fax: (336) 765-9552
The NPI 1932490307 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 4/20/2011 and was last updated on 10/6/2021.