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Search › Missouri › General Practice Dentistry

Bradford Russell, DMD

NPI 1356355432 · on the registry since 2006 · sole proprietor

Practice

Address
3005 Falling Leaf Ct
Suite 101
Columbia, MO 65201
Phone
(573) 875-7040
Organisation at this address
Chase Patton Dds Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-04-22

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