Individual
DR. NICHOLAS RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
420 BEECHER RD, COLUMBUS, OH 43230
(614) 775-0222
Mailing address
111 W 3RD AVE UNIT 312, COLUMBUS, OH 43201-3771
(614) 507-5701
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
30.025455
OH
Other
Enumeration date
10/17/2014
Last updated
10/02/2018
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