Billy D Russom, DDS

General Practice Dentistry · Corning, AR

Organization Active NPI

NPI number 1609471499

Practice location

211 Hospital Dr
Corning, AR 72422-7259
Phone
(870) 857-3557
Fax
(870) 857-5128

Open in Google Maps

NPI record

NPI
1609471499
Entity type
Organization (Type 2)
Enumeration date
December 1, 2020
Last updated
December 1, 2020
Certified
December 1, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — —

Mailing address

PO Box 435
Corning, AR 72422-0435
Phone
(708) 573-5578
Fax
(870) 857-5128

Authorized official

Name
Renee Hayes
Title
Insurance Clerk
Phone
(870) 857-3557

About Billy D Russom, DDS

Billy D Russom, DDS is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 211 Hospital Dr, Corning, AR 72422-7259. The NPI number 1609471499 was assigned on December 1, 2020 and the record was last updated on December 1, 2020.

The authorized official for this organization is Renee Hayes, Insurance Clerk.

Frequently asked questions

What is the NPI number of Billy D Russom, DDS?

The NPI number is 1609471499.

What is the phone number of Billy D Russom, DDS?

The phone number listed for the practice location is (870) 857-3557.

Where is Billy D Russom, DDS located?

211 Hospital Dr, Corning, AR 72422-7259.

What is the taxonomy code for Billy D Russom, DDS?

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.

Other General Practice Dentistry providers in Corning

All General Practice Dentistry providers in Corning, AR →