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KENNETH R RUSSELL D.D.S.
NPI 1366543258
Dentist - General Practice in Winston Salem, NC

Active since September 26, 2006
1480 RYMCO DR STE B, WINSTON SALEM, NC 27103(336) 768-7940(336) 768-5985 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth R Russell D.d.s. NPPES

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

KENNETH R RUSSELL D.D.S. (NPI 1366543258) is an individual general practice provider in Winston Salem, North Carolina, licensed in North Carolina (5843) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1366543258
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKENNETH R RUSSELLCredential: D.D.S.
Location Address1480 RYMCO DR STE BWinston Salem, NC 27103-2944
Mailing Address1480 Rymco Dr Ste BWinston Salem, NC 27103-2944 · (336) 768-7940 · Fax (336) 768-5985
Phone(336) 768-7940
Fax(336) 768-5985
Sole ProprietorNo
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1366543258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 5843
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.
1480 RYMCO DR STE B, Winston Salem, NC 27103
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Other Names 1

Professional Name (2)Kenneth R Russell Dds Pa

Other Identifiers 1

Medicaid8997537NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENNETH R,. RUSSELL, D.D.S. PA
Dentist (General Practice)
1480 RYMCO DR STE B
WINSTON SALEM, NC 27103
Forsyth County (336) 768-7940

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 1366543258. It was assigned to this individual provider in the NPPES registry on September 26, 2006. The provider is also known as Kenneth R Russell Dds PA.

Where is Kenneth Russell located?

Kenneth Russell practices at 1480 Rymco Dr Ste B, Winston Salem, NC 27103. The listed phone number is (336) 768-7940.

What is Kenneth Russell's specialty?

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

What insurance does Kenneth Russell accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Kenneth Russell 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 Kenneth Russell was last updated on July 9, 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.