Russell Kirk, D.D.S

NPI 1558322321 · on the registry since 2006

Practice

Address: 1409 W Baddour Pkwy
Suite #F
Lebanon, TN 37087
Phone: (615) 453-7800
Fax: (615) 453-7858
Organisation at this address: Russell K Kirk, Dds, Pc
Bradshaw Medical Clinic, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 1223S0112X
1223S0112X
Licence states on file: TN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-05-03

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 Tennessee