Russell M. Dodd, DDS, P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

2981 Issued in AR

Legal business name

RUSSELL M. DODD, DDS, P.C.

Practice address

10912 Colonel Glenn Rd
Suite 3500
Little Rock, AR 72204-8010

Phone

(501) 568-6253

Fax

(501) 568-5877

NPI assigned

Sep 24, 2008

Organization subpart

No

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

Authorized official

Name

Russell M. Dodd, DDS

Title

Practice Owner

Phone

(501) 568-6253

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1689824823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10912 COLONEL GLENN RD",
            "address_2": "SUITE 3500",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722048010",
            "telephone_number": "501-568-6253",
            "fax_number": "501-568-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10912 COLONEL GLENN RD",
            "address_2": "SUITE 3500",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722048010",
            "telephone_number": "501-568-6253",
            "fax_number": "501-568-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL M. DODD, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "DODD",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "501-568-6253",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AR",
            "license": "2981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Annette Rurup, R.N.
• Elise G Rushing
• Jerry Rushing
• Sophia Elissa Rushing
• Tina Rushing, LCSW
• Angela Russell, MSPT
• Denise Russell
• Glennae Russell
• Harrison Russell
• Ida Alicia Russell, ATC

• Dentist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.