Individual
CHRISTOPHER CLINTON RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 BYRAM PL STE C, BYRAM, MS 39272-8739
(601) 373-1351
Mailing address
127 LEWIS FARMS DR, MADISON, MS 39110-1002
(601) 954-9530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
112651
MS
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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