DR. RUSSELL LEON HARRISON (NPI# 1609945674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609945674 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL LEON HARRISON |
| Credential | DDS, MS |
| Practice Address |
33 E Broadway Ste. 290 Columbia MO 65203-4207 |
| Practice Telephone | 5734490794 |
| Practice Fax Number | 5734437333 |
| Mailing Telephone | 5734490794 |
| Mailing Fax Number | 5734437333 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
010659 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164409173 | Russell B Harrison | Family Medicine | 1600 Se Court Pl, Suite 201, Pendleton, OR 97801 | 2005-12-30 |
| Street Address |
33 E BROADWAY STE. 290 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65203-4207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
| 1144797101 | Mary Zhang | Family Medicine | 200 Southampton Drive, Ste 102, Columbia, MO 65203 | 2018-10-29 |
| 1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
| 1154820157 | David Vincent Spencer | Internal Medicine | 201 W Broadway Building, Suite E, Columbia, MO 65203 | 2018-02-05 |
| 1598283103 | Donna Strickland | Counselor | 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 | 2017-09-03 |
| 1134643182 | Anna Kathryn Christensen | Physician Assistant | 4107 Baurichter Dr., Columbia, MO 65203 | 2017-08-01 |
| 1558885871 | Juan Camilo Pineda | Internal Medicine | 210 Portland Street Suite 104, Columbia, MO 65203 | 2017-07-28 |
| 1922530096 | The Missing L Inc | Community/Behavioral Health | 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 | 2017-03-29 |
| 1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
| 1417313552 | Brittany Lea Ramirez | Chiropractor | 2001 Corona Rd Ste 205, Columbia, MO 65203 | 2016-01-05 |
| Find all providers in zip 65203 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376814723 | Nabil Beaini | Dentist | 201 W Broadway Ste 5a, Columbia, MO 65203-3842 | 2012-01-17 |
| 1811126261 | Keyla Ivette Torres | Dentist | 6395 Dobbin Rd Ste 208, Columbia, MD 21045-4759 | 2009-07-07 |
| 1578688230 | Stephen E Gossett | Dentist | 3000 Two Notch Rd., Small Smiles Dental Centers of Columbia, LLC, Columbia, SC 29204 | 2007-03-20 |
| 1518009026 | Donald William Hogan | Dentist | 7007 Brookfield Rd, Columbia, SC 29223-2212 | 2007-02-12 |
| 1134211261 | William Cleveland James Jr. | Dentist | 2120 N Beltline Blvd, Columbia, SC 29204-3905 | 2006-09-28 |
| 1598856353 | South Carolina Periodontology Pa | Dentist | 2120 N Beltline Boulevard, Columbia, SC 29204-3905 | 2006-09-27 |
| 1700800497 | Sohee Kim Park | Dentist | 456 Clemson Rd, Columbia, SC 29229-7925 | 2006-07-26 |
| 1548282130 | Columbia Periodontal Assoicates, LLC | Dentist | 3527 Bush River Rd, Columbia, SC 29210-4805 | 2006-07-24 |
| 1427029511 | Gregg Walker Mckenzie | Dentist | 124 Alpine Cir., Columbia, SC 29223 | 2006-01-28 |
| 1497746796 | James Lewis Dickson | Dentist | 104 Berrywood Dr, Columbia, TN 38401-6408 | 2005-11-04 |
| Find all providers in COLUMBIA | ||||
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| 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.