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KENNETH WILLIAM RUSSELL DDS
NPI 1164510665
Dentist - General Practice in Covington, WA

Active since October 10, 2006
17121 SE 270TH PLACE, COVINGTON, WA 98042(253) 630-5500(253) 630-2930 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth William Russell Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH WILLIAM RUSSELL DDS (NPI 1164510665) is an individual general practice provider in Covington, Washington, licensed in Washington (5098) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1164510665
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKENNETH WILLIAM RUSSELLCredential: DDS
Location Address17121 SE 270TH PLACECovington, WA 98042
Mailing Address17121 Se 270th PlaceCovington, WA 98042 · (253) 630-5500 · Fax (253) 630-2930
Phone(253) 630-5500
Fax(253) 630-2930
Sole ProprietorNo
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164510665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · 5098
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
17121 SE 270TH PLACE, Covington, WA 98042
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Russell's NPI number?

The NPI number for Kenneth Russell is 1164510665. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Kenneth Russell located?

Kenneth Russell practices at 17121 SE 270th Place, Covington, WA 98042. The listed phone number is (253) 630-5500.

What is Kenneth Russell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kenneth Russell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.