Wall, Russell Keith

Wall, Russell Keith is an individual health care provider with primary practice located at 221 W College St , Branson MO 65616. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wall, Russell Keith can be contacted via phone (417) 334-5999.

Contact Information

Primary practice address
221 W College St Branson MO 65616
Phone: (417) 334-5999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 14141 Missouri

Profile Details

NPI number 1235385428
LBN Legal business name Wall, Russell Keith
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2008
Last updated Aug 7th, 2008 - about 18 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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