Kenneth R,. Russell, D.D.S. PA
NPI 1902081094 · General Practice Dentistry · Winston Salem, NC
Kenneth R,. Russell, D.D.S. PA is a General Practice Dentistry organization in Winston Salem, NC (NPI 1902081094).
Provider details
- NPI number
- 1902081094
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kenneth Russell, President(336) 768-7940
- License
- 5843 (NC)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-01-08
- Last updated
- 2008-01-08
Frequently asked questions
- What is Kenneth R,. Russell, D.D.S. PA's NPI number?
- Kenneth R,. Russell, D.D.S. PA's National Provider Identifier (NPI) is 1902081094, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kenneth R,. Russell, D.D.S. PA?
- Kenneth R,. Russell, D.D.S. PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Kenneth R,. Russell, D.D.S. PA located?
- Kenneth R,. Russell, D.D.S. PA's practice location on file with NPPES is 1480 Rymco Dr Ste B, Winston Salem, NC 27103-2944.
- What is Kenneth R,. Russell, D.D.S. PA's phone number?
- The practice phone number listed in the NPPES registry for Kenneth R,. Russell, D.D.S. PA is (336) 768-7940.
- Who is the authorized official for Kenneth R,. Russell, D.D.S. PA?
- The authorized official listed on Kenneth R,. Russell, D.D.S. PA's NPPES record is Kenneth Russell, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kenneth R,. Russell, D.D.S. PA's NPI active?
- Yes — Kenneth R,. Russell, D.D.S. PA's NPI (1902081094) is active in the NPPES registry as of the last update on 2008-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.