Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL KEITH KIRK, D.D.S.
ActiveRUSSELL KEITH KIRK, D.D.S. is a Oral & Maxillofacial Surgery healthcare provider located in LEBANON, Tennessee. NPI 1558322321 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · LEBANON, TN
Registration Details
- NPI Number
- 1558322321
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2006 (20.413738384862 yrs)
- Last Updated
- May 3, 2011
- License
-
7103 (TN)
Practice Information
- Address
-
1409 W BADDOUR PKWYSUITE #FLEBANON, TN, 370872513Browse TN providers · Browse ZIP 37087
- Phone
- 6154537800
- Fax
- 6154537858
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
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.