Harrison, Russell Leon

Harrison, Russell Leon is an sole proprietor health care provider with primary practice located at 33 E Broadway Ste. 290, Columbia MO 65203-4207. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Harrison, Russell Leon can be contacted via phone (573) 449-0794.

Contact Information

Primary practice address
33 E Broadway Ste. 290 Columbia MO 65203-4207
Phone: (573) 449-0794
Fax: (573) 443-7333
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 010659 Missouri

Profile Details

NPI number 1609945674
LBN Legal business name Harrison, Russell Leon
Credentials DDS, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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