Tamara Dunn Russell, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN011041 Issued in GA

Practice address

16 Felton PL # B
Cartersville, GA 30120-2152

Phone

(770) 382-3536

Fax

(770) 382-1915

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922166164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FELTON PL # B",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202152",
            "telephone_number": "770-382-3536",
            "fax_number": "770-382-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 FELTON PL # B",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202152",
            "telephone_number": "770-382-3536",
            "fax_number": "770-382-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "TAMARA",
        "middle_name": "DUNN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN011041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS MEDICAID",
            "identifier": "100299",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL MEDICAID",
            "identifier": "9181142",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00945128A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerald Alan Ruff, P.T.
• Jenavieve Averyl Rummel, PA-C
• Matthew Thomas Rump
• Dawn Marie Rushing
• Ladenna Russell, D.C.
• Lauren Horn Rutland, CRNA
• Thomas Donald Ryan, M.D.
• Timothy F Ryan, MD
• Nena Rybarczyk, LPC, NCC, CPCS, DCC
• S. G. Krouse Physical Therapy & Health Solutions

• Pediatric Dentistry in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.