Individual provider Active NPI

Christopher Clinton Russell

  • Dentist
  • Byram, MS
National Provider Identifier
1700717980
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
112651 Issued in MS
Practice address
310 Byram PL Ste C
Byram, MS 39272-8739
Phone
(601) 373-1351
NPI assigned
May 27, 2026
Last updated
May 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 112651 MS Primary

Addresses

Primary practice location

310 Byram PL Ste C
Byram, MS 39272-8739

Mailing address

127 Lewis Farms Dr
Madison, MS 39110-1002
Phone (601) 954-9530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
112651MSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dulaney Dental, PLLC Single Specialty Past Accepting new patients
Andrew K. Dulaney, DMD Single Specialty Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1700717980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 LEWIS FARMS DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391101002",
            "telephone_number": "601-954-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BYRAM PL STE C",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392728739",
            "telephone_number": "601-373-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "CLINTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "112651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byram, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.