RUSSELL KEITH KIRK D.D.S.
NPI 1558322321
Dentist - Oral and Maxillofacial Surgery in Lebanon, TN

Active since March 31, 2006
1409 W BADDOUR PKWY, SUITE #F, LEBANON, TN 37087(615) 453-7800(615) 453-7858 Get Directions Write a Review

NPPES record last updated: May 3, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Russell Keith Kirk D.d.s. NPPES

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

RUSSELL KEITH KIRK D.D.S. (NPI 1558322321) is an individual oral and maxillofacial surgery provider in Lebanon, Tennessee, licensed in Tennessee (7103) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1558322321
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameRUSSELL KEITH KIRKCredential: D.D.S.
Location Address1409 W BADDOUR PKWY, SUITE #FLebanon, TN 37087-2513
Mailing Address5594 Franklin RdLebanon, TN 37090-8101 · (615) 453-7800 · Fax (615) 453-7858
Fax(615) 453-7858
Sole ProprietorNo
Enumeration DateMarch 31, 2006
Last NPPES UpdateMay 3, 2011
NPI 1558322321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in TN · 7103
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1409 W BADDOUR PKWY, Lebanon, TN 37087

Other Identifiers 1

Medicare UPINU94787TN

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Physical Therapist
1409 W BADDOUR PKWY
LEBANON, TN 37087
Specialist
1409 W BADDOUR PKWY, SUITE A
LEBANON, TN 37087
Physical Therapist
1409 W BADDOUR PKWY, SUITE A
LEBANON, TN 37087
Surgery
1409 W BADDOUR PKWY, STE D
LEBANON, TN 37087

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 Russell Kirk's NPI number?

The NPI number for Russell Kirk is 1558322321. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Russell Kirk located?

Russell Kirk practices at 1409 W Baddour Pkwy Suite #f, Lebanon, TN 37087. The listed phone number is (615) 453-7800.

What is Russell Kirk's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Russell Kirk accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Russell Kirk 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 Russell Kirk was last updated on May 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.