Russell, David A

Russell, David A is an individual health care provider with primary practice located at 400 N Benton Dr , Sauk Rapids MN 56379-1535. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Russell, David A can be contacted via phone (320) 253-4206.

Contact Information

Primary practice address
400 N Benton Dr Sauk Rapids MN 56379-1535
Fax: (320) 202-7803
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D12399 Minnesota

Profile Details

NPI number 1417153818
LBN Legal business name Russell, David A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2007
Last updated Jul 8th, 2007 - about 19 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.

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