Russell, Rand Keith
Russell, Rand Keith is an sole proprietor health care provider with primary practice located at 5745 Erindale Dr Ste 200 , Colorado Springs CO 80918-8902. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Russell, Rand Keith can be contacted via phone (719) 599-7665.Contact Information
Primary practice address
5745 Erindale Dr Ste 200
Colorado Springs CO 80918-8902
Phone: (719) 599-7665
Fax: (719) 599-8599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D5925 | Arizona |
| Dental Providers / Endodontics | 1223E0200X | 10456 | North Carolina |
Profile Details
| NPI number | 1205806411 |
|---|---|
| LBN Legal business name | Russell, Rand Keith |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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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