Individual
ROXANN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
16688 N. DALE MABRY HWY, TAMPA, FL 33618
(813) 374-9695
(813) 333-7323
Mailing address
16688 N. DALE MABRY HWY, TAMPA, FL 33618
(813) 374-9695
(813) 333-7323
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
17627
TX
1223P0221X
Pediatric Dentistry
016103
MO
1223P0221X
Pediatric Dentistry
Primary
DN18794
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000084500
—
FL
Enumeration date
07/21/2006
Last updated
12/30/2016
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