IndividualActive
John Russell, D.M.D.
NPI 1821231663 · Orthodontics and Dentofacial Orthopedics Dentistry · Columbus, MS
Provider details
- NPI number
- 1821231663
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2100-84 (MS)
Specialties & taxonomies
Dental Providers
Practice location
206 N Brookmoore Dr
Columbus, MS 39705-2020
Phone: (662) 328-1521
Fax: (662) 328-1237
Approximate (ZIP-level) locationGet directions
Mailing address
206 N Brookmoore Dr
Columbus, MS 39705-2020
Registry dates
- Enumerated
- 2009-04-09
- Last updated
- 2009-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.