David Wayne Russell is a Las Cruces, New Mexico based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of David Wayne Russell is DD4897 for Dentistry in New Mexico. His current practice location is 4171 Northrise Drive, Las Cruces. Patients can reach him at 575-521-9375.
David Wayne Russell is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
David Wayne Russell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
David Wayne Russell
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
4171 Northrise Drive, Las Cruces, New Mexico, 88011
Phone:
575-521-9375
Fax:
575-521-2637
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1164915294
NPI Enumeration Date:
13 Jun, 2018
NPI Last Update On:
12 Aug, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for David Wayne Russell are as mentioned below.
License Number
Specialization
State
Status
DD4897
Dentistry
New Mexico
Primary
DD4897
General Practice Dentistry
New Mexico
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with David Wayne Russell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
81627718
Medicaid
New Mexico
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4171 Northrise Drive, Las Cruces, New Mexico
Zip:
88011
Phone Number:
575-521-9375
Fax Number:
575-521-2637
Patients can reach David Wayne Russell at 4171 Northrise Drive, Las Cruces, New Mexico or can call to book an appointment on 575-521-9375. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.