DR. HARRY PATRICK RUSSELL II (NPI# 1629473277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629473277 |
| Entity Type | Individual |
| Full Name | DR. HARRY PATRICK RUSSELL II |
| Credential | D.M.D |
| Practice Address |
4736 Starkey Rd Suite B Roanoke VA 24018-8547 |
| Practice Telephone | 5407727135 |
| Practice Fax Number | 5407721317 |
| Mailing Telephone | 5407727135 |
| Mailing Fax Number | 5407721317 |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
401007391 | VA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | TYPE II NPI NUMBER | 1497941058 | 01 |
| Street Address |
4736 STARKEY RD SUITE B |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-8547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762531 | Professional Dental Alliance of Tx 43003 Pllc | Dentist | 200 E Highway 114, Roanoke, TX 76262-6907 | 2020-08-28 |
| 1710347562 | Randolph R West Dds Pllc | Dentist | 295 W. Byron Nelson Blvd, Ste 304, Roanoke, TX 76262 | 2016-03-07 |
| 1134526403 | John Walker Robinson | Dentist | 365 Highland Ave Sw, Roanoke, VA 24016-4325 | 2014-12-02 |
| 1487067120 | Priyanka Dutt | Dentist | 5002 Airport Rd Nw # 30, Roanoke, VA 24012-1607 | 2014-06-10 |
| 1396065504 | Rhea Theresa Coronel Antolin | Dentist | 105 Country View Dr Ste 300, Roanoke, TX 76262 | 2010-06-10 |
| 1649593831 | Guy Bernard Merritt | Dentist | 2001 Memorial Ave Sw, Roanoke, VA 24015-2031 | 2010-03-02 |
| 1811221302 | Laila Ochana | Dentist | 85002 Airport Rd, Nw Unit #130, Roanoke, VA 24012 | 2009-09-30 |
| 1427295831 | Affinity Smiles Dental, Pllc | Dentist | 1112 N Highway 377 Ste 106, Roanoke, TX 76262-9125 | 2009-01-07 |
| 1447412812 | Randolph Robert West | Dentist | 295 W. Byron Nelson Blvd., Suite 228, Roanoke, TX 76262-3190 | 2008-06-27 |
| 1003073008 | Sandra Andrew | Dentist | 212 Highland Ave Sw, Roanoke, VA 24016-4416 | 2008-05-19 |
| Find all providers in ROANOKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.