Individual
DR. ZACHARY D RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7062
AZ
1223G0001X
General Practice Dentistry
DT-2405
HI
1223P0700X
Prosthodontics
Primary
DT-2405
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156326
AHCCCS ID#
AZ
Enumeration date
12/27/2006
Last updated
04/28/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up