OrganizationActive
John Russell, III, D.M.D.
NPI 1871736496 · Orthodontics and Dentofacial Orthopedics Dentistry · Tupelo, MS
Provider details
- NPI number
- 1871736496
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Authorized official
- John Russell, President
- License
- OR15888 (MS)
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.