Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RUSSELL DAVID HATFIELD JR., D.D.S., M.S.
Active Sole ProprietorDR. RUSSELL DAVID HATFIELD JR., D.D.S., M.S. is a Periodontology healthcare provider located in MARION, Ohio. NPI 1457376428 is currently active in the NPPES registry. Verify at CMS.
Periodontology · MARION, OH
Registration Details
- NPI Number
- 1457376428
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2006 (20.064039211951 yrs)
- Last Updated
- Jul 8, 2007
- License
-
30020865 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
285 MOUNT VERNON AVEMARION, OH, 433024117Browse OH providers · Browse ZIP 43302
- Phone
- 7403871144
- Fax
- 7403824333
- Primary Specialty
-
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.