Dr. Randall J Russell
Oral and Maxillofacial Surgeon
20971 E Smoky Hill Rd Suite 201
Centennial
, Colorado 80015-5186
Dr. Randall J Russell
Oral and Maxillofacial Surgeon
20971 E Smoky Hill Rd Suite 201
Centennial
, Colorado 80015-5186
(720) 870-1456
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Randall J Russell
- 20971 E Smoky Hill Rd Suite 201
- Centennial, CO
- Zip : 80015-5186
- Fax : (720) 870-1456
- Phone : (720) 870-1451
Second Address
- Dr. Randall J Russell
- 20971 E Smoky Hill Rd Suite 201
- Centennial, CO
- Zip : 80015-5186
- Fax : (720) 870-1456
- Phone : (720) 870-1451
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | DEN.00201913 | CO |
National Provider Identifier
| NPI | 1013170968 |
|---|---|
| Provider Name | Dr. Randall J Russell |
| First Address | Centennial, CO 80015-5186 |
| Second Address | Centennial, CO 80015-5186 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/07/2008 |
| Last Update Date | 11/03/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.