DR. TAMARA DUNN RUSSELL (NPI# 1922166164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922166164 |
| Entity Type | Individual |
| Full Name | DR. TAMARA DUNN RUSSELL |
| Credential | DMD |
| Practice Address |
16 Felton Pl # B Cartersville GA 30120-2152 |
| Practice Telephone | 7703823536 |
| Practice Fax Number | 7703821915 |
| Mailing Telephone | 7703823536 |
| Mailing Fax Number | 7703821915 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN011041 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | DORAL MEDICAID | 9181142 | 01 |
| GA | 00945128A | 05 | |
| GA | AVESIS MEDICAID | 100299 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598165607 | Tamara Lou Russell | Nurse Practitioner | 6826 Nawadaha Blvd, Orlando, FL 32818-5365 | 2014-08-26 |
| 1982841441 | Tamara Russell | Speech-Language Pathologist | 1705 S Capital of Texas Hwy, Austin, TX 78746-6578 | 2009-01-20 |
| 1699722975 | Tamara Lynne Russell | Psychologist | 317 E Johnson Ave, Chelan, WA 98816-2920 | 2006-05-30 |
| 1407274475 | Tamara S Russell | Counselor | 214 Sw 30th St, Oklahoma City, OK 73109-6506 | 2014-04-06 |
| 1730482647 | Tamara Russell | Counselor | 600 S Preston St, Louisville, KY 40202-1716 | 2010-12-15 |
| 1396056255 | Tamara Rachelle Russell | Physical Medicine & Rehabilitation | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2010-06-25 |
| 1679702187 | Tamara Junell Russell | Speech-Language Pathologist | 700 N Colorado Blvd, 318, Denver, CO 80206 | 2009-07-06 |
| 1467691071 | Tamara Russell | Behavioral Analyst | 2580 Lindo Court, Sumter, SC 29154 | 2009-02-05 |
| Street Address |
16 FELTON PL # B |
| City | CARTERSVILLE |
| State | GA |
| Zip Code | 30120-2152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619044724 | James Welton Shealy Jr Jr. | Dentist | 16 Felton Pl # B, Cartersville, GA 30120-2152 | 2006-11-30 |
| 1659422319 | Peter Arthur Phrydas | Dentist | 16 Felton Pl # B, Cartersville, GA 30120-2152 | 2007-01-16 |
| 1215005376 | Children's Dental Center, PC | Dentist | 16 Felton Pl # B, Cartersville, GA 30120-2152 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
| 1538719273 | The Golden Ages Corporoation | Nursing Care | 41 Walden Crossing, Cartrsville, GA 30120 | 2019-09-15 |
| 1932752391 | Jennifer Elaine Mclaurin | Counselor | 911 N. Tennesse Street, Suite 107, Cartersville, GA 30120 | 2019-07-24 |
| 1164989497 | Kayla Elizabeth Hoskins | Occupational Therapist | 7 E Cherokee Ave, Cartersville, GA 30120 | 2019-02-22 |
| 1942785837 | Adriane L Alexander | Social Worker | 24 Meadowbridge Drive, Cartersville, GA 30120 | 2018-09-26 |
| 1306329362 | Ashley Elizabeth Deal | Nurse Practitioner | 958a Joe Frank Harris Parkway, Suite 101, Cartersville, GA 30120 | 2018-09-14 |
| 1376037606 | Samuel Gilreath Tumlin | Dentist | 701 N. Tennessee St., Cartersville, GA 30120 | 2018-06-20 |
| 1437669108 | Deborah Susan Luper | Counselor | 106 Forrest Avenue, A Healing Place, Cartersville, GA 30120 | 2017-10-06 |
| 1750810693 | Debbie Fearon | Registered Nurse | 523 Mountain Chase, Cartersville, GA 30120 | 2017-06-05 |
| 1023486388 | Amanda Stanley | Pharmacist | 1150 West Ave, Cartersville, GA 30120 | 2015-09-03 |
| Find all providers in zip 30120 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619044724 | James Welton Shealy Jr Jr. | Dentist | 16 Felton Pl # B, Cartersville, GA 30120-2152 | 2006-11-30 |
| 1134227705 | Paul Dominique | Dentist | 16b Felton Pl, Cartersville, GA 30120-2152 | 2006-09-20 |
| 1871963447 | Children's Dental Center, PC | Dentist | 1010 N Tennessee St, Ste 105, Cartersville, GA 30120-8525 | 2015-09-25 |
| 1932364841 | Allen Robert Hutchins | Dentist | 16b Felton Pl, Cartersville, GA 30120-2152 | 2008-07-21 |
| 1871757526 | Eunis Choi | Dentist | 16b Felton Place, Cartersville, GA 30120 | 2008-07-11 |
| 1659422319 | Peter Arthur Phrydas | Dentist | 16 Felton Pl # B, Cartersville, GA 30120-2152 | 2007-01-16 |
| 1427113521 | Carlla Blanton | Dentist | 16b Felton Pl, Cartersville, GA 30120-2152 | 2006-12-27 |
| 1215005376 | Children's Dental Center, PC | Dentist | 16 Felton Pl # B, Cartersville, GA 30120-2152 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895002 | Ashley Starnesdmd LLC | Dentist | 5482 Chamblee Dunwoody Rd Ste 9, Dunwoody, GA 30338-4142 | 2020-09-14 |
| 1912518531 | Samuel S Kwon - Athens Dmd PC | Dentist | 1795 Resurgence Drive, Suite 101, Watkinsville, GA 30677 | 2020-08-17 |
| 1366060618 | A Dental Home 4 Kidz | Dentist | 155 Carnegie Pl Ste 201, Fayetteville, GA 30214-3981 | 2020-07-13 |
| 1255973566 | Rehoboth Life Care Ministries, Inc | Dentist | 3208 Hwy 41, Byron, Byron, GA 31008 | 2019-10-09 |
| 1629619200 | Peachtree Hills Pediatric Dentistry | Dentist | 2385 Peachtree Rd Ne Ste A2ab, Atlanta, GA 30305-4139 | 2019-10-04 |
| 1871145557 | Dogwood Pediatric Dentistry of Statesboro, LLC | Dentist | 123 Hill Pond Ln, Statesboro, GA 30458-0872 | 2019-07-12 |
| 1952969396 | Ns3 Services, LLC | Dentist | 1039 Grant St Se Ste B11, Atlanta, GA 30315-2050 | 2019-05-31 |
| 1871050872 | Warner Robins Pediatric Dentistry LLC | Dentist | 102 S Houston Rd, Warner Robins, GA 31088-3904 | 2019-02-26 |
| 1730646886 | Smiles for Kids Norcross PC | Dentist | 3953 Holcomb Bridge Rd Ste 100, Peachtree Corners, GA 30092-5201 | 2019-02-25 |
| 1073083127 | Pediatric Dentistry of Central Georgia - Macon LLC | Dentist | 5437 Bowman Rd Ste 300, Macon, GA 31210-6575 | 2018-12-03 |
| Find all providers with the same taxonomy | ||||
| City | CARTERSVILLE |
| Zip Code | 30120 |
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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.