| Mark W. Russell, Dmd, Pllc | |
|
2815 Village Way Trent Woods NC 28562-7351 | |
| (252) 633-4444 | |
| (252) 638-1586 |
| Full Name | Mark W. Russell, Dmd, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2815 Village Way, Trent Woods, North Carolina |
| Authorized Official Name and Position | Mark W. Russell (MEMBER AND MANAGER) |
| Authorized Official Contact | 2526334444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark W. Russell, Dmd, Pllc 2815 Village Way Trent Woods NC 28562-7351 Ph: (252) 633-4444 | Mark W. Russell, Dmd, Pllc 2815 Village Way Trent Woods NC 28562-7351 Ph: (252) 633-4444 |
| NPI Number | 1487390662 |
|---|---|
| Provider Enumeration Date | 05/10/2022 |
| Last Update Date | 06/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487390662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Jeffery R. Thomas, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2808 Village Way, Trent Woods, NC 28562 Phone: 252-633-1631 Fax: 252-633-3922 | |
Patrick M. Mcdonough, D.d.s., M.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2808 Village Way, Trent Woods, NC 28562 Phone: 252-633-1631 Fax: 252-633-3922 |