Individual
JOSEPH CRISTOPHER RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-2339
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-2708
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401418016
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401418016
VA
Other
Enumeration date
07/02/2022
Last updated
06/09/2025
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