Russell, Randall J

Russell, Randall J is an sole proprietor health care provider with primary practice located at 20971 E Smoky Hill Rd Suite 201, Centennial CO 80015-5186. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Russell, Randall J can be contacted via phone (720) 870-1451.

Contact Information

Primary practice address
20971 E Smoky Hill Rd Suite 201 Centennial CO 80015-5186
Phone: (720) 870-1451
Fax: (720) 870-1456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DEN.00201913 Colorado

Profile Details

NPI number 1013170968
LBN Legal business name Russell, Randall J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2008
Last updated Mar 11th, 2013 - about 13 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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