DR. THOMAS DUCKWORTH RUSSELL IV (NPI# 1144303025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144303025 |
| Entity Type | Individual |
| Full Name | DR. THOMAS DUCKWORTH RUSSELL IV |
| Credential | D.D.S. |
| Practice Address |
130 Peachtree Plz Brownsville TN 38012-2500 |
| Practice Telephone | 7317722107 |
| Practice Fax Number | 7317721710 |
| Mailing Telephone | 7317722107 |
| Mailing Fax Number | 7317721710 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6983 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205354396 | Thomas Russell | Counselor | 8800 Roswell Rd Ste A135, Sandy Springs, GA 30350-1826 | 2017-09-08 |
| 1215346507 | Thomas Russell II | Internal Medicine | 12315 Otchipwe Ave N, Stillwater, MN 55082-9547 | 2014-08-12 |
| 1285821884 | Thomas Lloyd Russell | Dentist | 607 E 64th Ter, Kansas City, MO 64131-1129 | 2007-09-27 |
| 1770539967 | Thomas Jeffrey Russell | Ophthalmology | 3535 Travis St Ste 170, Dallas, TX 75204-1480 | 2006-05-26 |
| 1477116143 | Thomas Glenn Russell | Physical Therapist | 7600 Highway 60 Ste 300, Sellersburg, IN 47172-2040 | 2019-04-18 |
| 1881186971 | Thomas Lee Russell | Registered Nurse | 17872 Lincoln Hwy, Middle Point, OH 45863 | 2018-06-04 |
| 1316490113 | Thomas Russell | Occupational Therapist | 380 Stevens Ave, Suite 314, Solana Beach, CA 92075-2063 | 2016-07-27 |
| 1295185056 | Thomas Morison Russell | Neurological Surgery | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2016-06-13 |
| 1639579675 | Thomas Russell II | Counselor | 3780 Kilroy Airport Way, Long Beach, CA 90806-2457 | 2014-08-27 |
| 1023372695 | Thomas J Russell | Counselor | 44 Front St, Suite 490, Worcester, MA 01608-1733 | 2012-06-28 |
| Street Address |
130 PEACHTREE PLZ |
| City | BROWNSVILLE |
| State | TN |
| Zip Code | 38012-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942297643 | Russell Dental Group, P.C. | Dentist | 130 Peachtree Plz, Brownsville, TN 38012-2500 | 2005-09-29 |
| 1760565642 | Thomas Duckworth Russell IIi | Dentist | 130 Peachtree Plz, Brownsville, TN 38012-2500 | 2006-10-23 |
| 1790868685 | Andrew David Russell | Dentist | 130 Peachtree Plz, Brownsville, TN 38012-2500 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598309213 | Henrietta Butler-shaw | Technician | 43 Autumn Dr., Brownsville, TN 38012 | 2019-11-06 |
| 1083711535 | Jaime Montoya Chavez | Legal Medicine | Box 291, Brownsville, TN 38012 | 2006-09-19 |
| 1083628432 | Bernasue Valerie Mcelrath | Chiropractor | 37 S Wilson Ave, Brownsville, TN 38012 | 2006-07-28 |
| 1427094655 | Gary Dean Pettigrew | Pharmacist | 2288 N Washington Ave, Quality Drug Company, Brownsville, TN 38012 | 2006-06-22 |
| 1184674590 | Jason Lowell Smothers | Optometrist | 1100 S Dupree Ave, Brownsville, TN 38012 | 2006-05-10 |
| 1972568749 | Crestview Health Care and Rehabilitation Inc | Nursing Facility/Intermediate Care Facility | 704 Dupree Rd, Brownsville, TN 38012 | 2006-04-17 |
| 1003302951 | Faith Family Medical Clinic, LLC | Nurse Practitioner | 511 E Main St, Brownsville, TN 38012 | 2018-07-03 |
| 1780073213 | Robert Franklin Callery | Registered Nurse | 511 E Main St, Brownsville, TN 38012 | 2015-01-21 |
| 1184055345 | Ray Wakefield | Nurse Practitioner | 2290 N Washington Ave, Brownsville, TN 38012 | 2013-12-12 |
| 1821148073 | State of Tennessee | Public Health or Welfare | 950 East Main Street, Brownsville, TN 38012 | 2007-01-11 |
| Find all providers in zip 38012 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538783287 | Tugraberk Usul | Dentist | 130 Simpson Rd, Brownsville, PA 15417-9625 | 2020-05-28 |
| 1427536853 | Shree Shanker Shrestha | Dentist | 2950 Southmost Boulevard #103, Brownsville, TX 78521-4787 | 2018-07-28 |
| 1386138170 | Chang Joo Lee | Dentist | 2950 Southmost Blvd, Suite 103, Brownsville, TX 78521 | 2018-06-15 |
| 1487185526 | Arcade Dental Pllc | Dentist | 146 Caribbean Dr, 103, Brownsville, TX 78520-3615 | 2017-03-21 |
| 1265986640 | Olga Ruby Salinas | Dentist | 1205 E Alton Gloor Blvd, Brownsville, TX 78526-3831 | 2016-08-15 |
| 1609242858 | Professional Dental Group, P.a. | Dentist | 1115 Professional Drive, Brownsville, TX 78520 | 2015-08-11 |
| 1336523364 | Vanesa G Clements Dds PC | Dentist | 2200 Boca Chica Blvd, #138, Brownsville, TX 78521-2212 | 2015-07-20 |
| 1609294172 | Melissa Uriegas | Dentist | 4920 N Expressway Ste E, Brownsville, TX 78526-4335 | 2014-04-02 |
| 1164763553 | River Hill Dental | Dentist | 1427 Ky Highway 259 N, Brownsville, KY 42210-9280 | 2013-03-08 |
| 1619239837 | Premier Dental Center | Dentist | 1203 E College St, Brownsville, TN 38012-1656 | 2012-06-13 |
| Find all providers in BROWNSVILLE | ||||
| City | BROWNSVILLE |
| Zip Code | 38012 |
Please comment or provide details below to improve the information on DR. THOMAS DUCKWORTH RUSSELL IV.
| 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.