BRADFORD RUSSELL DMD
NPI 1356355432
Dentist - General Practice in Columbia, MO

Active since July 27, 2006
3005 FALLING LEAF CT, SUITE 101, COLUMBIA, MO 65201(573) 875-7040 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bradford Russell Dmd NPPES

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

BRADFORD RUSSELL DMD (NPI 1356355432) is an individual general practice provider in Columbia, Missouri, licensed in Missouri (13572) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1356355432
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameBRADFORD RUSSELLCredential: DMD
Location Address3005 FALLING LEAF CT, SUITE 101Columbia, MO 65201-3549
Mailing Address3005 Falling Leaf CtColumbia, MO 65201-3549 · (573) 875-7040
Sole ProprietorYes
Enumeration DateJuly 27, 2006
Last NPPES UpdateApril 22, 2008
NPI 1356355432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MO · 13572
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.

3005 FALLING LEAF CT, Columbia, MO 65201

Accepted Insurance

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist
3005 FALLING LEAF CT
COLUMBIA, MO 65201
Clinic/Center (Dental)
3005 FALLING LEAF CT
COLUMBIA, MO 65201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356355432, enumerated as an "individual" on July 27, 2006.

The provider is located at 3005 FALLING LEAF CT SUITE 101 COLUMBIA, MO 65201 and the phone number is (573) 875-7040.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.