Travis Russell, DDS
NPI 1679001085 · on the registry since 2017
Practice
- Address
- 594 Main St N
Mc Kenzie, TN 38201 - Phone
- (731) 415-3084
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-05-30
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