DR. RANDALL J RUSSELL


Address: 20971 E Smoky Hill Rd, Suite 201, Centennial, CO 80015-5186
Phone: 7208701451

DR. RANDALL J RUSSELL (NPI# 1013170968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013170968
Entity Type Individual
Full Name DR. RANDALL J RUSSELL
Credential D.D.S.
Practice Address 20971 E Smoky Hill Rd
Suite 201
Centennial
CO 80015-5186
Practice Telephone 7208701451
Practice Fax Number 7208701456
Mailing Telephone 7208701451
Mailing Fax Number 7208701456
Enumeration Date 2008-07-09
Last Update Date 2013-03-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
DEN.00201913 CO Dental Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers RANDALL RUSSELL

NPI Name Taxonomy Address Enumeration
1285171892 Randall Shane Russell Counselor 158 Mcgehee Dr, Baton Rouge, LA 70815-5012 2017-01-21

Office Location

Street Address 20971 E SMOKY HILL RD
SUITE 201
City CENTENNIAL
State CO
Zip Code 80015-5186

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669481818 Eric Bowen Tedstrom Social Worker 20971 E Smoky Hill Rd, Ste 215, Centennial, CO 80015-5186 2006-08-05
1366932824 Nancy L Mickelson Social Worker 20971 E Smoky Hill Rd, Centennial, CO 80015-5186 2018-05-10
1841723897 Will Bedford-sutro Case Manager/Care Coordinator 20971 E Smoky Hill Rd, Centennial, CO 80015-5186 2017-04-06
1912354812 Advanced Periodontics & Implant Dentistry Pllc Dentist 20971 E Smoky Hill Rd, Ste 202, Centennial, CO 80015-5186 2016-05-20
1134518467 Presken Family Care PC Family Medicine 20971 E Smoky Hill Rd, Suite 107, Centennial, CO 80015-5186 2015-01-09
1811238264 Randall J Russell Dds PC Clinic/Center 20971 E Smoky Hill Rd, Suite 201, Centennial, CO 80015-5186 2013-03-11
1770848426 Mary Elizabeth Mcclure Social Worker 20971 E Smoky Hill Rd, Centennial, CO 80015-5186 2012-07-09
1871881664 Carlton J Floyd Dds Ms PC Dentist 20971 E Smoky Hill Rd, Suite #201, Centennial, CO 80015-5186 2011-07-14
1568625879 Brent James Nielsen Dentist 20971 E Smoky Hill Rd, Ste #202, Centennial, CO 80015-5186 2008-07-07
1285812867 Highline Center for Vision & Learning Optometrist 20971 E Smoky Hill Rd, Suite 106, Centennial, CO 80015-5186 2008-02-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679128326 Heather Hartleroad Counselor 21699 E Quincy Ave Unit F, #352, Aurora, CO 80015 2019-08-08
1033602792 4abilities, LLC. Non-emergency Medical Transport (VAN) 5105 S Valdai Street, Aurora, CO 80015 2018-06-07
1952827719 1st Centennial Home Health LLP Home Health 5418 S Danube Way, Centennial, CO 80015 2017-08-14
1881132157 1st Allergy Asthma and Pediatrics Too, Inc. Specialist 15470 E Smoky Hill Road, Aurora, CO 80015 2017-02-07
1467909028 Silver Touch Home Care In Home Supportive Care 21804 E. Lake Pl, Aurora, CO 80015 2016-09-01
1417302514 Michelle Dinges Dietitian, Registered 5606 S Helena Ct, Centennial, CO 80015 2016-04-27
1043664907 Gomgom Siregar Home Health Aide 5235 S Liverpool Way, Centennial, CO 80015 2016-04-18
1104280528 Lloyd Reliford Custodial Care Facility 5556 S Jericho Way, Centennial, CO 80015 2016-04-12
1003279563 Victoria Care Services Respite Care 17285 E Wagontrail Pkwy, Aurora, CO 80015 2016-04-01
1699130104 Gina Michelle Fernandez Physician Assistant 14813 E Radcliff Pl, Aurora, CO 80015 2015-12-28
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609174218 Bryce Jay Darrell Williams Dentist 14000 East Arapahoe Road Suite #320, Centennial, CO 80112 2011-03-06
1811199920 Advanced Oral & Maxillofacial Surgery Dentist 9094 E Mineral Ave., Suite 260, Centennial, CO 80112-7201 2007-06-01
1609974831 Charles F. Wennogle Dentist 17715 E Jamison Ave, Centennial, CO 80016-1814 2006-09-20
1871881664 Carlton J Floyd Dds Ms PC Dentist 20971 E Smoky Hill Rd, Suite #201, Centennial, CO 80015-5186 2011-07-14
1336322346 Aaron T. Liddell Dentist 14000 E. Arapahoe Road, Suite 320, Centennial, CO 80112-4047 2007-12-12
1982727657 Edward Marc Weideman Dentist 9094 E Mineral Ave, Suite 260, Centennial, CO 80112 2007-04-09
1184798290 Carlton James Floyd Dentist 20971 E Smoky Hill Rd, Suite #201, Centennial, CO 80015-5186 2006-11-20
1437223419 Thomas Stanley Michalik Dentist 9094 E. Mineral Ave., Suite 260, Centennial, CO 80112 2006-11-20
1538268917 James Robert Lessig Dentist 9094 E Mineral Ave, Suite 260, Centennial, CO 80112 2006-09-21
1003925058 Brandon Dean Schultz Dentist 15250 E Orchard Rd, Centennial, CO 80016 2006-08-30
Find all providers in CENTENNIAL

Competitor

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City CENTENNIAL
Zip Code 80015

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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