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 |
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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 |
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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 |