SHANNON S. RUSSELL, DDS, INC. (NPI# 1902031974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902031974 |
| Entity Type | Organization |
| Organization Name | SHANNON S. RUSSELL, DDS, INC. |
| Other Organization Name | 1ST IMPRESSIONS DENTISTRY |
| Practice Address |
2720 Highway 4 Suite 3 & 4 Arnold CA 95223 |
| Mailing Address |
Po Box 29 Arnold CA 95223-0029 |
| Practice Telephone | 2097951535 |
| Practice Fax Number | 2097956733 |
| Mailing Telephone | 2097951535 |
| Mailing Fax Number | 2097956733 |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-05-20 |
| Authorized Official Name | DR. SHANNON S RUSSELL (PRESIDENT) |
| Authorized Official Telephone | 2097951535 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| 1st Impressions Dentistry | Doing Business As Name - Organization |
| Street Address |
2720 HIGHWAY 4 SUITE 3 & 4 |
| City | ARNOLD |
| State | CA |
| Zip Code | 95223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770705311 | Shannon Russell | Dentist | 2720 Highway 4, Arnold, CA 95223 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568838084 | Alpine County Behavioral Health Services | Community/Behavioral Health | 367 Creekside Dr., Bear Valley, CA 95223 | 2015-08-19 |
| 1538549290 | Rachael Dillon Buchanan | Massage Therapist | 1265 Oak Circle, Arnold, CA 95223 | 2015-06-08 |
| 1518209709 | Alpine County Bear V Alley | Community/Behavioral Health | 367 Creekside Drive, Bear Valley, CA 95223 | 2013-03-26 |
| 1457641599 | Robert Stephen Porcella | General Practice | 2262 Patricia Lane, Arnold, CA 95223 | 2011-04-11 |
| 1588953624 | Chiropractic Wellness Center, Albert Vick, D.c., P.c | Chiropractor | 1280 Oak Cirlce, Arnold, CA 95223 | 2011-03-29 |
| 1639491558 | Acorn Physical Therapy | Clinic/Center | 2075 Highway 4, Arnold, CA 95223 | 2010-02-19 |
| 1194916411 | David N Arnold, D.d.s.,p.c. | Dentist | 1250 Oak Circle, Arnold, CA 95223 | 2007-08-05 |
| 1073724936 | David N Arnold | Dentist | 1250 Oak Ct, Arnold, CA 95223 | 2007-05-24 |
| 1710024476 | Albert Fisher Woodruff Vick IIi | Chiropractor | 1280 Oak Circle, Cedar Center, Arnold, CA 95223 | 2007-01-31 |
| 1184780181 | Ebbetts Pass Fire District | Ambulance | 1028 Manuel Rd, Arnold, CA 95223 | 2006-12-28 |
| Find all providers in zip 95223 | ||||
| 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 |
|---|---|---|---|---|
| 1891252375 | Wojtyna Dds LLC | Dentist | 1200 Big Bill Rd, Arnold, MO 63010-2117 | 2019-02-21 |
| 1649742115 | Dental Health Professionals of Maryland, Scott Finlay, P.C. | Dentist | 1460 Ritchie Hwy Ste 203, Arnold, MD 21012-2741 | 2018-12-21 |
| 1538584669 | Alex Sharifian Dds Water Tower Dental Group PC | Dentist | 2231 Michigan Avenue, Arnold, MO 63010 | 2014-02-26 |
| 1043465412 | James Ollie Huisinga | Dentist | 28 Fox Valley Center, Arnold, MO 63010-4882 | 2008-11-26 |
| 1194916411 | David N Arnold, D.d.s.,p.c. | Dentist | 1250 Oak Circle, Arnold, CA 95223 | 2007-08-05 |
| 1770705311 | Shannon Russell | Dentist | 2720 Highway 4, Arnold, CA 95223 | 2007-05-03 |
| 1336369487 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 3540 Jeffco Blvd Ste 110, Arnold, MO 63010-3999 | 2007-04-30 |
| 1851511414 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 3500 Jeffco Blvd, Suite 100, Arnold, MO 63010-6122 | 2007-04-26 |
| 1083733216 | J. Scott Delaplain | Dentist | 6 Municipal Dr, Arnold, MO 63010-1012 | 2007-03-28 |
| 1467583823 | Henrik L Anderson | Dentist | 269b Peninsula Farm Road, Broadneck Medical Center, Arnold, MD 21012 | 2007-03-08 |
| Find all providers in ARNOLD | ||||
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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.