IndividualActive
Alan Russell, DDS
NPI 1124092119 · General Practice Dentistry · Minneapolis, MN
Provider details
- NPI number
- 1124092119
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- License
- 9480 (MN)
Specialties & taxonomies
Dental Providers
Practice location
2010 27th Ave S
Minneapolis, MN 55406-1108
Phone: (612) 336-8478
Approximate (ZIP-level) locationGet directions
Mailing address
2010 27th Ave S
Minneapolis, MN 55406-1108
Registry dates
- Enumerated
- 2006-02-15
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.