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NPI 1144110057

IndividualActive

Alexandra Russell, DMD

NPI 1144110057 · General Practice Dentistry · Evans, GA

Provider details

NPI number: 1144110057
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DMD
Sex: Female
Sole proprietor: No
License: DN123838 (GA)

Practice location

545 Mullins Colony Dr

Evans, GA 30809-0559

Phone: (706) 842-2215

More GA providers

Mailing address

2549 Walton Way Apt D1

Augusta, GA 30904-4578

Registry dates

Enumerated: 2025-07-03
Last updated: 2026-03-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alexandra Russell, DMD — NPI 1144110057, Evans, GA | NPI Central