Individual
DR. RUSSELL O GILPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
875 UNION AVE, MEMPHIS, TN 38163-0001
(901) 448-6202
(901) 448-1625
Mailing address
875 UNION AVE, MEMPHIS, TN 38163-0001
(901) 448-6202
(901) 448-1625
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000005193
TN
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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