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William Dirk Russell, D.M.D
NPI 1114007887 · on the registry since 2006 · sole proprietor
Practice
- Address
- 8014 Cumming Hwy Suite 401
Canton, GA 30115 - Phone
- (770) 345-2010
- Fax
- (770) 345-0571
- Organisation at this address
- Dillard Academy
Dillard Academy
Dirk Russell D.M.D., P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia