RANDALL J RUSSELL DDS PC (NPI# 1811238264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811238264 |
| Entity Type | Organization |
| Organization Name | RANDALL J RUSSELL DDS PC |
| 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 | 2013-03-11 |
| Last Update Date | 2013-03-11 |
| Authorized Official Name | DR. RANDALL J RUSSELL (OWNER) |
| Authorized Official Telephone | 7208701451 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
DEN.00201913 | CO | Ambulatory Health Care Facilities |
| Street Address |
20971 E SMOKY HILL RD SUITE 201 |
| City | CENTENNIAL |
| State | CO |
| Zip Code | 80015-5186 |
| 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 |
| 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 |
| 1013170968 | Randall J Russell | Dentist | 20971 E Smoky Hill Rd, Suite 201, Centennial, CO 80015-5186 | 2008-07-09 |
| 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 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 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 |
| Find all providers in zip 80015 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770091720 | Altitude Oral and Facial Cosmetic Surgery Lone Tree, Pllc | Clinic/Center | 10375 Park Meadows Dr Ste 150, Lone Tree, CO 80124-6755 | 2018-01-11 |
| 1154835528 | Jeffrey W. Stearns, D.m.d., M.d | Clinic/Center | 27 S 18th Ave, Brighton, CO 80601-2401 | 2017-11-21 |
| 1346484193 | Colorado Regional Oral Surgery | Clinic/Center | 8025 Club Crest Drive, Arvada, CO 80005 | 2009-04-23 |
| 1578706651 | Blue River Oral Surgery | Clinic/Center | 975 North Ten Mile Drive, Suite E 11, Frisco, CO 80443-4998 | 2009-04-20 |
| 1447420922 | Bluestein Surgical Arts, PC | Clinic/Center | 864 W South Boulder Rd, Louisville, CO 80027-2410 | 2008-03-11 |
| 1043480452 | Glenwood Oral Surgery, P.C. | Clinic/Center | 406 South Hyland Park Dr, Suite B, Glenwood Springs, CO 81601 | 2008-03-03 |
| 1174702880 | Justin C. Bley D.m.d., P.C. | Clinic/Center | 1707 61st Ave, Suite 102, Greeley, CO 80634-7997 | 2007-10-30 |
| 1336361526 | Day Surgical Arts Frisco | Clinic/Center | 975 N. Ten Mile Drive, E11, Frisco, CO 80443 | 2007-05-03 |
| 1891200309 | Highlands Ranch Oral & Facial Surgery | Clinic/Center | 300 Plaza Dr Ste 175, Highlands Ranch, CO 80129-2335 | 2017-12-06 |
| 1205354388 | Colorado Surgical & Anesthesia Services, PC | Clinic/Center | 6915 Conifer Ct, Niwot, CO 80503-8665 | 2017-09-08 |
| Find all providers with the same taxonomy | ||||
| City | CENTENNIAL |
| Zip Code | 80015 |
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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.