| David R Russell Dmdpc, Dba'rising Sun Dental Care' | |
|
301 State Drive Elizabethville PA 17023 | |
| (717) 692-4847 | |
| (717) 692-4848 |
| Full Name | David R Russell Dmdpc, Dba'rising Sun Dental Care' |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 301 State Drive, Elizabethville, Pennsylvania |
| Authorized Official Name and Position | Sara Louise Lynde (DENTIST/OWNER) |
| Authorized Official Contact | 7176924847 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David R Russell Dmdpc, Dba'rising Sun Dental Care' 301 State Drive Elizabethville PA 17023 Ph: (717) 692-4847 | David R Russell Dmdpc, Dba'rising Sun Dental Care' 301 State Drive Elizabethville PA 17023 Ph: (717) 692-4847 |
| NPI Number | 1295981850 |
|---|---|
| Provider Enumeration Date | 08/14/2008 |
| Last Update Date | 05/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295981850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS037223 (Pennsylvania) | Secondary |
| 1223G0001X | Dentist - General Practice | DS108472 (Pennsylvania) | Primary |