Individual
DR. ALEXIS RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2504 TULANE AVE, NEW ORLEANS, LA 70119-7445
(504) 304-9929
(504) 304-6517
Mailing address
2504 TULANE AVE, NEW ORLEANS, LA 70119-7445
(504) 304-9929
(504) 304-6517
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6083
LA
1223G0001X
General Practice Dentistry
7280
NV
1223P0221X
Pediatric Dentistry
Primary
6083
LA
Other
Enumeration date
06/28/2010
Last updated
11/12/2021
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