Russell, Andrea W.

Russell, Andrea W. is an individual health care provider with primary practice located at 8014 Cumming Hwy Suite 401, Canton GA 30115-9339. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Russell, Andrea W. can be contacted via phone (770) 345-2010.

Contact Information

Primary practice address
8014 Cumming Hwy Suite 401 Canton GA 30115-9339
Phone: (770) 345-2010
Fax: (770) 345-0571
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN012175 Georgia

Profile Details

NPI number 1487734067
LBN Legal business name Russell, Andrea W.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Sep 4th, 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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