Organization
JOHN RUSSELL, III, D.M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN RUSSELL III D.M.D. (PRESIDENT)
(662) 328-1521
Entity
Organization
Contact information
Practice address
499 GLOSTER CREEK VLG, TUPELO, MS 38801-4600
(662) 678-1028
Mailing address
206 N BROOKMOORE DR, COLUMBUS, MS 39705-2020
(662) 328-1521
(662) 328-1237
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
OR15888
MS
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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