OrganizationActive
John Russell, III, D.M.D.
NPI 1699918201 · Orthodontics and Dentofacial Orthopedics Dentistry · Amory, MS
Provider details
- NPI number
- 1699918201
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- John Russell, President(662) 328-1521
- License
- OR15888 (MS)
Specialties & taxonomies
Dental Providers
Practice location
400 2nd Ave N
Amory, MS 38821-3513
Phone: (662) 256-3260
Approximate (ZIP-level) locationGet directions
Mailing address
206 N Brookmoore Dr
Columbus, MS 39705-2020
Registry dates
- Enumerated
- 2009-04-13
- Last updated
- 2009-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.