| Russell Dental Group, P.c. | |
|
130 Peachtree Plz Brownsville TN 38012-2500 | |
| (731) 772-2107 | |
| Not Available |
| Full Name | Russell Dental Group, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 130 Peachtree Plz, Brownsville, Tennessee |
| Authorized Official Name and Position | Thomas Duckworth Russell Iii (CORPORATION PRESIDENT, DENTIST) |
| Authorized Official Contact | 7317722107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Dental Group, P.c. 130 Peachtree Plz Brownsville TN 38012-2500 Ph: (731) 772-2107 | Russell Dental Group, P.c. 130 Peachtree Plz Brownsville TN 38012-2500 Ph: (731) 772-2107 |
| NPI Number | 1942297643 |
|---|---|
| Provider Enumeration Date | 09/29/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942297643 | NPI | - | NPPES |
| 014423 | Other | TN | TENNCARE |
Lewis Dental Group, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 N Washington Ave, Brownsville, TN 38012 Phone: 731-779-0889 | |
Premier Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1203 E College St, Brownsville, TN 38012 Phone: 731-772-4567 Fax: 731-772-6679 |