RICKY DALE RUSSELL (NPI# 1407963622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407963622 |
| Entity Type | Individual |
| Full Name | RICKY DALE RUSSELL |
| Credential | DDS |
| Practice Address |
526 Legacy Dr Ste 100 Smyrna TN 37167 |
| Practice Telephone | 6154598050 |
| Practice Fax Number | 6154596023 |
| Mailing Telephone | 6154598050 |
| Mailing Fax Number | 6154596023 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS0000003565 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053425009 | Ricky Gordon Russell | Ophthalmology | 501 Marshall St, Suite 603, Jackson, MS 39202-1651 | 2006-08-18 |
| Street Address |
526 LEGACY DR STE 100 |
| City | SMYRNA |
| State | TN |
| Zip Code | 37167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770503278 | Matthew David Kressin | Dentist | 526 Legacy Dr, Suite 120, Smyrna, TN 37167-6750 | 2006-07-20 |
| 1083013114 | James Brannen | Dentist | 526 Legacy Dr, Smyrna, TN 37167-6750 | 2014-08-14 |
| 1497163752 | Alexander Edwards | Dentist | 526 Legacy Dr, Smyrna, TN 37167-6750 | 2014-07-30 |
| 1003151390 | Legacy Hill Dentistry | Dentist | 526 Legacy Dr, Smyrna, TN 37167-6750 | 2012-11-28 |
| 1245595073 | Clay Ellison Burton | Dentist | 526 Legacy Dr, Smyrna, TN 37167-6750 | 2012-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708864 | Results-ast Jv, LLC | Physical Therapist | 741 Presidents Place, Suite 130, Smyrna, TN 37167 | 2020-10-21 |
| 1659834455 | Jemima Mensah | Nurse Practitioner | 433 Nissan Dr Ste 301, Smyrna, TN 37167 | 2019-04-09 |
| 1538645395 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 111 Movie Row, Smyrna, TN 37167 | 2018-07-16 |
| 1932699915 | Jessica Jones | Physical Therapist | 8414, 1173 Rock Springs Rd, Suite 105, Smyrna, TN 37167 | 2018-05-15 |
| 1962920256 | Faithful Horizons Support Services, Inc. | Respite Care | 204 Spirit Hill Circle, Smyrna, TN 37167 | 2017-09-06 |
| 1386185270 | Marie Murphy | Counselor | 695 President Place, Ste 202, Smyrna, TN 37167 | 2017-03-13 |
| 1932556990 | Tamara Tucker | Social Worker | 680 Windellwood Circle, Smyrna, TN 37167 | 2016-05-19 |
| 1861861056 | Tennessee Dental Professionals, PC | Dentist | 840 Nissan Drive, Smyrna, TN 37167 | 2015-09-18 |
| 1669840211 | Smyrna Modern Dentistry, PC | Dentist | 160 Movie Row, Smyrna, TN 37167 | 2015-09-11 |
| 1548636970 | Hometown Respiratory Consultants Inc | Durable Medical Equipment & Medical Supplies | 13181 Old Nashville Hwy Ste 120, Smyrna, TN 37167 | 2015-08-19 |
| Find all providers in zip 37167 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962917575 | Jared Wilson Bristol | Dentist | 573 Concord Rd Se Ste C, Smyrna, GA 30082-2611 | 2017-12-05 |
| 1174052245 | Stacey Elise Reich | Dentist | 4849 S Cobb Dr Se Ste 111, Smyrna, GA 30080-7145 | 2017-06-12 |
| 1114464062 | Signature Smiles Family Dentistry | Dentist | 1932 Almaville Rd, Suite 105, Smyrna, TN 37167-4404 | 2017-01-30 |
| 1669840211 | Smyrna Modern Dentistry, PC | Dentist | 160 Movie Row, Smyrna, TN 37167 | 2015-09-11 |
| 1205210911 | Richard Anderson | Dentist | 840 Nissan Dr., Smyrna, TN 37167 | 2015-07-13 |
| 1003305251 | Hannah Isabel Alexander | Dentist | 4500 W Village Pl Se Unit 2015, Smyrna, GA 30080-9245 | 2013-08-24 |
| 1407102015 | Daniel C. Norris | Dentist | 620 Concord Rd Se, Smyrna, GA 30082-2619 | 2012-08-01 |
| 1801184478 | Sara Twardy | Dentist | 1060 Windy Hill Road Se, Suite 220, Smyrna, GA 30080 | 2011-07-18 |
| 1184920985 | Integrity Dental Care, Pllc | Dentist | 301 Wolverine Trl Ste 203, Smyrna, TN 37167-5656 | 2011-01-27 |
| 1962716472 | Cheryl R Coggins | Dentist | 440 Sam Ridley Pkwy W Ste 140, Smyrna, TN 37167-2999 | 2010-07-27 |
| Find all providers in SMYRNA | ||||
Please comment or provide details below to improve the information on RICKY DALE RUSSELL.
| 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.