IndividualActive
Russell Harrison, DDS, MS
NPI 1609945674 · Periodontics · Columbia, MO
Provider details
- NPI number
- 1609945674
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 010659 (MO)
Specialties & taxonomies
Dental Providers
Practice location
33 E Broadway
Ste. 290
Columbia, MO 65203-4207
Phone: (573) 449-0794
Fax: (573) 443-7333
Approximate (ZIP-level) locationGet directions
Mailing address
33 E Broadway
Columbia, MO 65203-4207
Registry dates
- Enumerated
- 2006-11-06
- 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.