Brett Russell, DDS

NPI 1306053988 · on the registry since 2007 · sole proprietor

Practice

Address: 2310 Forum Blvd
Suite A
Columbia, MO 65203
Phone: (573) 446-0032
Fax: (573) 446-0238
Organisation at this address: Williams Dental Llc
Dental Wellness Partners Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-06-16

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 Missouri