Russell Keith Kirk
D.D.S. | Oral and Maxillofacial Surgeon | 32+ years Exp
1409 W Baddour Pkwy, Suite #f, Lebanon
Tennessee, 37087-2513
615-453-7800 615-453-7858
Maps & DirectionsRussell Keith Kirk is a Lebanon, Tennessee based Oral and Maxillofacial Surgeon with
32 years of experience in
Oral and Maxillofacial Surgery. He completed his graduation from
University Of Tennessee Hsc College Of Dentistry in 1994. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Russell Keith Kirk is
7103 for Oral and Maxillofacial Surgery in Tennessee. His current practice location is
1409 W Baddour Pkwy, Suite #f, Lebanon. Patients can reach him at
615-453-7800.
Russell Keith Kirk deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
Russell Keith Kirk 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: | Russell Keith Kirk |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | D.D.S. |
| Experience: | 32+ years |
| Medical School Attended: | University Of Tennessee Hsc College Of Dentistry |
| Graduation Year: | 1994 |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 1409 W Baddour Pkwy, Suite #f, Lebanon,
Tennessee, 37087-2513 |
| Phone: | 615-453-7800 |
| Fax: | 615-453-7858 |
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.
| PAC ID: | 0042495178 |
| Enrollment ID: | I20110504000618 |
| NPI Number: | 1558322321 |
| NPI Enumeration Date: | 31 Mar, 2006 |
| NPI Last Update On: | 03 May, 2011 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Russell Keith Kirk are as mentioned below.
| License Number | Specialization | State | Status | |
| 7103 | Oral and Maxillofacial Surgery | Tennessee | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5594 Franklin Rd,
Lebanon, Tennessee |
| Zip: | 37090-8101 |
| Phone Number: | 615-453-7800 |
| Fax Number: | 615-453-7858 |
Patients can reach Russell Keith Kirk at
1409 W Baddour Pkwy, Suite #f, Lebanon, Tennessee or can
call to book an appointment on 615-453-7800.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.