Leonard Alonzo Russell, DDS

General Practice Dentistry · Cleveland Heights, OH

Individual Active NPI

NPI number 1205056306

Practice location

2204 S Taylor Rd
Cleveland Heights, OH 44118-3007
Phone
(216) 321-3462
Fax
(216) 371-2513

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NPI record

NPI
1205056306
Entity type
Individual (Type 1)
Enumeration date
April 30, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 17282 OH

Mailing address

PO Box 6357
Cleveland, OH 44101-1357
Phone
(216) 321-3462
Fax
(216) 371-2510

About Dr. Russell

Leonard Alonzo Russell, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2204 S Taylor Rd, Cleveland Heights, OH 44118-3007. The NPI number 1205056306 was assigned on April 30, 2007 and the record was last updated on July 8, 2007.

Dr. Russell lists a license in the registry: #17282 (OH) 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 Leonard Alonzo Russell, DDS?

The NPI number is 1205056306.

What is the phone number of Dr. Russell?

The phone number listed for the practice location is (216) 321-3462.

Where is Dr. Russell located?

2204 S Taylor Rd, Cleveland Heights, OH 44118-3007.

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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