Russel Hamarnah DMD PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RUSSEL HAMARNAH DMD PLLC

Practice address

1020 5TH St SE
Winter Haven, FL 33880-4210

Phone

(863) 299-1579

Fax

(863) 299-7086

NPI assigned

Jul 29, 2013

Organization subpart

No

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

Authorized official

Name

Rassel Elhamarnah, DMD

Title

Owner

Phone

(863) 299-1579

Specialties & licenses 3

Addresses

Other names 1

• Winter Haven Dental Doing business as

Locations

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1902248149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 5TH ST SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804210",
            "telephone_number": "863-299-1579",
            "fax_number": "863-299-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 5TH ST SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804210",
            "telephone_number": "863-299-1579",
            "fax_number": "863-299-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSEL HAMARNAH DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-29",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "ELHAMARNAH",
        "authorized_official_first_name": "RASSEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-299-1579",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winter Haven Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Ruhland
• Isabel Marie Ruiz Olivo, DC
• Erika Ruiz Rosario
• Kaeanna Allana Runcie, PHARMD
• Kristin Annmarie Rushing, AU.D
• Michelle Ruthann Rutledge, COTA/L
• Kate Gwendolyn Ryals, PA-C
• Sa-PG-Winter Haven LLC
• Kimberly Nicole Saenz, MA
• Sage Counseling Center

• General Practice Dentistry in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.