IndividualActive
Travis Russell, DDS
NPI 1861976839 · Public Health Dentistry · Concord, NC
Provider details
- NPI number
- 1861976839
- Entity type
- Individual
- Primary specialty
- Public Health DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 9255 (SC)
Specialties & taxonomies
Dental Providers
Practice location
280 Concord Pkwy S Ste 110a
Concord, NC 28027-2704
Phone: (704) 920-1070
Fax: (704) 920-1071
Approximate (ZIP-level) locationGet directions
Mailing address
300 Mooresville Rd
Kannapolis, NC 28081-0304
Additional practice locations (1)
- 300 Mooresville RdKannapolis, NC 28081-0304Phone: (704) 920-1070Fax: (704) 920-1071
Registry dates
- Enumerated
- 2018-09-17
- Last updated
- 2026-02-20
- Certified
- 2026-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.