Individual
RUSSELL SCOTT NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
105 LAWRENCE DR, MOUNT VERNON, IN 47620-1242
(812) 838-6523
(812) 838-6584
Mailing address
105 LAWRENCE DR, P.O. BOX 682, MOUNT VERNON, IN 47620-1242
(812) 838-6523
(812) 838-6584
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007372
IN
Other
Enumeration date
02/25/2007
Last updated
07/08/2007
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