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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. RUSSELL C PECK D.D.S.
NPI 1649249533
Dentist - Oral and Maxillofacial Surgery in Memphis, TN

Active since March 14, 2006
116 N PAULINE ST, MEMPHIS, TN 38104(901) 523-8990 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Feb 4, 2026 (2 updates tracked since 2026).

About Dr. Russell C Peck D.d.s. NPPES

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

DR. RUSSELL C PECK D.D.S. (NPI 1649249533) is an individual oral and maxillofacial surgery provider in Memphis, Tennessee, licensed in Tennessee (DS4250) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1649249533
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. RUSSELL C PECKCredential: D.D.S.
Location Address116 N PAULINE STMemphis, TN 38104-1005
Mailing Address5346 Wildbrook CvMemphis, TN 38120-2759 · (901) 734-0919
Phone(901) 523-8990
Sole ProprietorNo
Enumeration DateMarch 14, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1649249533 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 · DS4250
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.
116 N PAULINE ST, Memphis, TN 38104
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Accepted Insurance

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

Other Providers at the Same Location NPPES 20

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

CHRISTOPHER J. MCGEE
Social Worker
116 N PAULINE ST
MEMPHIS, TN 38104
Shelby County (901) 523-8990
MARTINA ISABEL WASLEY MD
Student in an Organized Health Care Education/Training Program
116 N PAULINE ST
MEMPHIS, TN 38104
Shelby County (901) 523-8990
KARA GWIN STACY
Social Worker
116 N PAULINE ST
MEMPHIS, TN 38104
Shelby County (901) 542-1346
DR. CRISTI DACUS PHARMD
Pharmacist
116 N PAULINE ST
MEMPHIS, TN 38104
Shelby County (901) 523-8990
CLAIRE BURBRIDGE
Pharmacist
116 N PAULINE ST
MEMPHIS, TN 38104
Shelby County (901) 523-8990
JESSICA WOOSTER THOMAS PHARMD
Pharmacist (Ambulatory Care)
116 N PAULINE ST
MEMPHIS, TN 38104
Shelby County (901) 523-8990
MRS. PAMELA J KEEL RDH
Dental Hygienist
116 N PAULINE ST
MEMPHIS, TN 38104
Shelby County (901) 523-8990
ZACHARY STEPHEN ANDERSON DO
Internal Medicine (Critical Care Medicine)
116 N PAULINE ST
MEMPHIS, TN 38104
Shelby County (901) 523-8990

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 Peck's NPI number?

The NPI number for Russell Peck is 1649249533. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Russell Peck located?

Russell Peck practices at 116 N Pauline St, Memphis, TN 38104. The listed phone number is (901) 523-8990.

What is Russell Peck'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 Peck accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Russell Peck 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 Peck was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.