| Dr Charles Mark Russell, DDS | |
|
163 Beech St, Harrogate, TN 37752-8208 | |
| (423) 869-5485 | |
| Not Available |
| Full Name | Dr Charles Mark Russell |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 163 Beech St, Harrogate, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548264328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3578 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Mark Russell, DDS 163 Beech St, Harrogate, TN 37752-8208 Ph: (423) 869-5485 | Dr Charles Mark Russell, DDS 163 Beech St, Harrogate, TN 37752-8208 Ph: (423) 869-5485 |
Toby Kyle Wright, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 124 Westmoreland St, Harrogate, TN 37752 Phone: 423-869-4762 | |
Lydia Combs Wright, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 124 Westmoreland St, Harrogate, TN 37752 Phone: 423-869-4762 |