IndividualActive
Jenny Russell
NPI 1356437024 · Dental Assistant · Ellington, MO
Provider details
- NPI number
- 1356437024
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
Practice location
115 Walnut St.
Ellington, MO 63638
Phone: (573) 663-3177
Fax: (573) 663-3188
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 579
Ellington, MO 63638-0579
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.