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MR. RANDAL CHRISTIAN RUSS DDS
NPI 1245247964
Dentist - General Practice in San Diego, CA

Active since August 02, 2006
3038 MEADE AVE, SAN DIEGO, CA 92116(619) 280-4796(619) 280-3029 Get Directions Write a Review

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

About Mr. Randal Christian Russ Dds NPPES

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

MR. RANDAL CHRISTIAN RUSS DDS (NPI 1245247964) is an individual general practice provider in San Diego, California, licensed in California (39200) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1245247964
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. RANDAL CHRISTIAN RUSSCredential: DDS
Location Address3038 MEADE AVESan Diego, CA 92116
Mailing Address3038 Meade AveSan Diego, CA 92116 · (619) 280-4796 · Fax (619) 280-3029
Phone(619) 280-4796
Fax(619) 280-3029
Sole ProprietorNo
Enumeration DateAugust 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1245247964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 39200
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.
3038 MEADE AVE, San Diego, CA 92116
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

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 Randal Russ's NPI number?

The NPI number for Randal Russ is 1245247964. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Randal Russ located?

Randal Russ practices at 3038 Meade Ave, San Diego, CA 92116. The listed phone number is (619) 280-4796.

What is Randal Russ's specialty?

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

What insurance does Randal Russ accept?

Health plans from Humana list Randal Russ as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randal Russ 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.