Organization
KENNETH R,. RUSSELL, D.D.S. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH RAY RUSSELL D.D.S. (PRESIDENT)
(336) 768-7940
Entity
Organization
Contact information
Practice address
1480 RYMCO DR STE B, WINSTON SALEM, NC 27103-2944
(336) 768-7940
(336) 768-5985
Mailing address
1480 RYMCO DR STE B, WINSTON SALEM, NC 27103-2944
(336) 768-7940
(336) 768-5985
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5843
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890195B
—
NC
Enumeration date
01/08/2008
Last updated
01/08/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us