Dirk Russell D.M.D., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012158 Issued in KY

Legal business name

DIRK RUSSELL D.M.D., P.C.

Practice address

8014 Cumming Hwy
Suite 401
Canton, GA 30115-9339

Phone

(770) 345-2010

Fax

(770) 345-0571

NPI assigned

Oct 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dirk Russell

Title

Owner

Phone

(770) 345-2010

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea W. Russell, D.M.D.

  • Dentist
  • Canton, GA
  • NPI 1487734067
  NPD (past)
• William Dirk Russell, D.M.D.

  • General Practice Dentistry
  • Canton, GA
  • NPI 1114007887
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1689754202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8014 CUMMING HWY",
            "address_2": "SUITE 401",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301159339",
            "telephone_number": "770-345-2010",
            "fax_number": "770-345-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8014 CUMMING HWY",
            "address_2": "SUITE 401",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301159339",
            "telephone_number": "770-345-2010",
            "fax_number": "770-345-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRK RUSSELL D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "DIRK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-345-2010",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "DN012158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dillard Academy
• Dillard Academy
• Allison Dillon
• Patrice James Dilwood, PHARMD
• Dima Healthcare, Inc
• Priya N Dixit, DDS MPH
• Loryn Hill Dobbins
• Andre Latura Dobson, M.D.
• Allison Curving Doerr, PH.D., BCBA-D
• Joelle Emily Doherty, LPC

• General Practice Dentistry in Canton, GA
• Providers in Canton, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.