Organization
LEGACY HILL DENTISTRY
Active
Other names
Ricky Dale Russell, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICKY DALE RUSSELL DDS (OWNER)
(615) 459-8050
Entity
Organization
Contact information
Practice address
526 LEGACY DR, SMYRNA, TN 37167-6750
(615) 459-8050
(615) 459-6023
Mailing address
526 LEGACY DR, SMYRNA, TN 37167-6750
(615) 459-8050
(615) 459-6023
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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