Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRAVIS RAY RUSSELL, DDS
ActiveTRAVIS RAY RUSSELL, DDS is a Dentist healthcare provider located in MC KENZIE, Tennessee. NPI 1679001085 is currently active in the NPPES registry. Verify at CMS.
Dentist · MC KENZIE, TN
Registration Details
- NPI Number
- 1679001085
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2017 (9.4163833996738 yrs)
- Last Updated
- May 30, 2017
- License
-
10509 (TN)
Practice Information
- Address
-
594 MAIN ST NMC KENZIE, TN, 382011707Browse TN providers · Browse ZIP 38201
- Phone
- 7314153084
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in MC KENZIE, TN
| Name | Credential | NPI |
|---|---|---|
| DR. MARK THOMAS WILLIAMS | D.D.S. | 1578723342 |
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.