Kenneth R Russell is a Winston Salem, North Carolina 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 Kenneth R Russell is 5843 for General Practice Dentistry in North Carolina. His current practice location is 1480 Rymco Dr Ste B, Winston Salem. Patients can reach him at 336-768-7940.
Kenneth R 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:
Kenneth R 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:
Kenneth R Russell
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
1480 Rymco Dr Ste B, Winston Salem, North Carolina, 27103-2944
Phone:
336-768-7940
Fax:
336-768-5985
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:
1366543258
NPI Enumeration Date:
26 Sep, 2006
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth R Russell are as mentioned below.
License Number
Specialization
State
Status
5843
General Practice Dentistry
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Kenneth R Russell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8997537
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1480 Rymco Dr Ste B, Winston Salem, North Carolina
Zip:
27103-2944
Phone Number:
336-768-7940
Fax Number:
336-768-5985
Patients can reach Kenneth R Russell at 1480 Rymco Dr Ste B, Winston Salem, North Carolina or can call to book an appointment on 336-768-7940. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.