Russell, Jenny S.

Russell, Jenny S. is an individual health care provider with primary practice located at 115 Walnut St. , Ellington MO 63638. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Russell, Jenny S. can be contacted via phone (573) 663-3177.

Contact Information

Primary practice address
115 Walnut St. Ellington MO 63638
Phone: (573) 663-3177
Fax: (573) 663-3188
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1356437024
LBN Legal business name Russell, Jenny S.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Popular Providers