Russell, Thomas R

Russell, Thomas R is an individual health care provider with primary practice located at 1400 Santa Rita Rd Suite A, Pleasanton CA 94566-5663. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Russell, Thomas R can be contacted via phone (925) 485-9009.

Contact Information

Primary practice address
1400 Santa Rita Rd Suite A Pleasanton CA 94566-5663
Phone: (925) 485-9009
Fax: (925) 846-9947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 28803 California

Profile Details

NPI number 1942387048
LBN Legal business name Russell, Thomas R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
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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