Search › North Carolina › Oral and Maxillofacial Surgery (Dentist)
Bradly Russell, DDS
NPI 1932490307 · on the registry since 2011 · sole proprietor
Practice
- Address
- 1601 S Hawthorne Rd
Winston Salem, NC 27103 - Phone
- (336) 765-9550
- Fax
- (336) 765-9552
- Organisation at this address
- A. Todd Smith, Dds Pa
Smith & Russell Dds PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Oral and Maxillofacial Surgery (Dentist)
1223S0112X
- Also registered as
- Student in an Organized Health Care Education/Training Program
Oral and Maxillofacial Surgery (Dentist)
Oral and Maxillofacial Surgery (Dentist) - Licence states on file
- OH, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-06
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 North Carolina