Kenneth William Russell, DDS

General Practice Dentistry · Covington, WA

Individual Active NPI

NPI number 1164510665

Practice location

17121 SE 270TH Place
Covington, WA 98042
Phone
(253) 630-5500
Fax
(253) 630-2930

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NPI record

NPI
1164510665
Entity type
Individual (Type 1)
Enumeration date
October 10, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 5098 WA

About Dr. Russell

Kenneth William Russell, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 17121 SE 270TH Place, Covington, WA 98042. The NPI number 1164510665 was assigned on October 10, 2006 and the record was last updated on July 8, 2007.

Dr. Russell lists a license in the registry: #5098 (WA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kenneth William Russell, DDS?

The NPI number is 1164510665.

What is the phone number of Dr. Russell?

The phone number listed for the practice location is (253) 630-5500.

Where is Dr. Russell located?

17121 SE 270TH Place, Covington, WA 98042.

What is the taxonomy code for Dr. Russell?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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