Trapnell, Russell
Trapnell, Russell is an individual health care provider with primary practice located at 2010 Wyoming Blvd Ne Ste G , Albuquerque NM 87112-2679. He recently has 2 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / General Practice. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Trapnell, Russell can be contacted via phone (505) 296-0761.Contact Information
Primary practice address
2010 Wyoming Blvd Ne Ste G
Albuquerque NM 87112-2679
Phone: (505) 296-0761
Fax: (505) 296-7543
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DD3190 | New Mexico |
Dental Providers / General Practice | 1223G0001X | 9183 | Colorado |
Profile Details
NPI number | 1609098789 |
---|---|
LBN Legal business name | Trapnell, Russell |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 2nd, 2007 |
Last updated | Nov 29th, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609098789 | NPPES |
Colorado | MEDICAID | 09328874 |
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