Individual
DR. RUSSELL DAVID HATFIELD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
285 MOUNT VERNON AVE, MARION, OH 43302-4117
(740) 387-1144
(740) 382-4333
Mailing address
285 MOUNT VERNON AVE, MARION, OH 43302-4117
(740) 387-1144
(740) 382-4333
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30020865
OH
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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