DR. DONALD M RUSSELL JR. (NPI# 1952417479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952417479 |
Entity Type | Individual |
Full Name | DR. DONALD M RUSSELL JR. |
Credential | D.M.D.,P.C. |
Practice Address |
2425 Medical Center Pkwy Selma AL 36701-7756 |
Practice Telephone | 3348751330 |
Practice Fax Number | 3348756284 |
Mailing Telephone | 3348751330 |
Mailing Fax Number | 3348756284 |
Enumeration Date | 2006-08-21 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
3063 | AL | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 000095993 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922451616 | Donald E. Russell Iv | Specialist/Technologist | 650 S Baltimore St, Dillsburg, PA 17019-9636 | 2016-07-18 |
1124044706 | Donald Martin Russell | Dentist | 4714 Edmondson Avenue, Baltimore, MD 21229 | 2006-07-15 |
1285610980 | Donald J Russell | Psychiatry & Neurology | 10711 Tarrington Dr, Houston, TX 77024-3127 | 2005-12-15 |
1902885742 | Donald L. Russell | Internal Medicine | 2600 6th St Sw, Suite A2-710, Canton, OH 44710-1702 | 2006-01-11 |
1326038662 | Donald Wayne Russell | Allergy & Immunology | 14 Mcdowell St, Asheville, NC 28801-4104 | 2005-10-27 |
Street Address |
2425 MEDICAL CENTER PKWY |
City | SELMA |
State | AL |
Zip Code | 36701-7756 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033416730 | James Osborn | Dentist | 2425 Medical Center Pkwy, Selma, AL 36701-7756 | 2011-02-16 |
1831328004 | Children's Dentistry of Central Alabama, PC | Dentist | 2425 Medical Center Pkwy, Selma, AL 36701 | 2009-07-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114491057 | Monica Boswell Moore | Nurse Practitioner | 1015 Medical Center Parkway, Selma, AL 36701 | 2019-01-14 |
1649784430 | Lightfoot Chiropractic Clinic, LLC | Chiropractor | 2117 Broad Street, Selma, AL 36701 | 2017-12-01 |
1356883284 | Vatausha Howard | Counselor | 1017 Medical Center Parkway, Selma, AL 36701 | 2016-11-09 |
1366993230 | Homestead Hospice of Cahaba | Hospice, Inpatient | 3005 Citizens Parkway, Selma, AL 36701 | 2016-10-17 |
1497018675 | Lashana Faye Jones | Technician | 2423 A North Broad St, Selma, AL 36701 | 2012-06-21 |
1528222809 | Eric M. Roussell Sr. | Pharmacist | 1300 Highland Avenue, Selma, AL 36701 | 2008-07-15 |
1144499302 | Cecil William Fuller Sr. | Dentist | 203 Dallas Ave, Selma, AL 36701 | 2008-02-21 |
1184813396 | Alliance Pharmacy LLC | Pharmacy | 133 1half Broad St, Selma, AL 36701 | 2007-10-24 |
1376740373 | Selma City | Local Education Agency (LEA) | 2194 Broad Street, Selma, AL 36701 | 2007-07-02 |
1245356229 | Georgia W Rhodes | Audiologist | 2906 Citizens Pkwy, Selma, AL 36701 | 2007-03-22 |
Find all providers in zip 36701 |
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 |
---|---|---|---|---|
1417240482 | Sarrell Regional Dental Center for Public Health, Inc. | Dentist | 1013 Medical Center Pkwy Ste 103, Selma, AL 36701-6742 | 2011-05-24 |
1346711322 | Riccobene & Associates Xxvi | Dentist | 1111 S Pollock St, Selma, NC 27576-2933 | 2018-12-17 |
1033416730 | James Osborn | Dentist | 2425 Medical Center Pkwy, Selma, AL 36701-7756 | 2011-02-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801423280 | Otm Pediatric Dentistry, LLC | Dentist | 521 Highway 31 S Ste 125, Vestavia Hills, AL 35216-1877 | 2020-03-25 |
1629602529 | Summit Smiles Pediatric Dentistry, LLC | Dentist | 3106 James Madison Dr E, Mobile, AL 36693-4060 | 2020-02-28 |
1316453210 | Liberty Park Children's Dentistry | Dentist | 1950 Stonegate Dr Ste 100, Vestavia Hls, AL 35242-2525 | 2017-12-14 |
1578091815 | Bush Pediatric Dentistry | Dentist | 4740 Woodmere Blvd, Montgomery, AL 36106-3065 | 2017-05-31 |
1225415771 | Oxford Pediatric Dental Associates LLC | Dentist | 1409 Hamric Dr E, Oxford, AL 36203-1933 | 2015-05-05 |
1013304310 | Sarrell Regional Dental Center for Public Health, Inc. | Dentist | 805 N Mckenzie St, Suite C, Foley, AL 36535-3544 | 2015-04-24 |
1962813188 | Shelby Pediatric Dentistry, PC | Dentist | 2490 Pelham Parkway, Pelham, AL 35124 | 2014-05-09 |
1447681861 | Mobile Pediatric Dentistry | Dentist | 1105 Hillcrest Rd Ste B, Mobile, AL 36695-3921 | 2013-12-11 |
1659635712 | Natasha Varma | Dentist | 9807 Mcsara Ct, Spanish Fort, AL 36527-5461 | 2012-07-03 |
1407133978 | Sarrell Regional Dental Center for Public Health Inc. | Dentist | 1572 Mill Sq, Alexander City, AL 35010-3367 | 2011-11-10 |
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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.