Individual
DR. DONALD M RUSSELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.,P.C.
Contact information
Practice address
2425 MEDICAL CENTER PKWY, SELMA, AL 36701-7756
(334) 875-1330
(334) 875-6284
Mailing address
2425 MEDICAL CENTER PKWY, SELMA, AL 36701-7756
(334) 875-1330
(334) 875-6284
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3063
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000095993
—
AL
Enumeration date
08/21/2006
Last updated
07/08/2007
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