Russell, Robert Martin

Russell, Robert Martin is an individual health care provider with primary practice located at 901 N Lindsay St , High Point NC 27262-3903. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Russell, Robert Martin can be contacted via phone (336) 884-8771.

Contact Information

Primary practice address
901 N Lindsay St High Point NC 27262-3903
Phone: (336) 884-8771
Fax: (336) 884-8770
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 6723 North Carolina

Profile Details

NPI number 1699791921
LBN Legal business name Russell, Robert Martin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Dec 22nd, 2010 - about 14 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

Identifiers

StateTypeNumberIssuer
All States NPI 1699791921 NPPES
North Carolina MEDICAID 8990021

Popular Providers