SMITH & RUSSELL DDS PLLC
NPI 1649963042
Dentist - Oral and Maxillofacial Surgery in Winston Salem, NC

Active since May 31, 2023
1601 S HAWTHORNE RD, WINSTON SALEM, NC 27103(336) 765-9550(336) 765-9552 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Smith & Russell Dds Pllc NPPES

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

SMITH & RUSSELL DDS PLLC (NPI 1649963042) is a healthcare organization registered as an oral and maxillofacial surgery in Winston Salem, North Carolina and active in the NPI registry since May 2023. The organization lists Bradly Kalb Russell, Oral Surgeon, as its authorized official.

NPPES Registry Identity

NPI1649963042
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSMITH & RUSSELL DDS PLLC
Location Address1601 S HAWTHORNE RDWinston Salem, NC 27103-4127
Mailing Address1601 S Hawthorne RdWinston Salem, NC 27103-4127 · (336) 765-9550 · Fax (336) 765-9552
Fax(336) 765-9552
Organization SubpartNo
Authorized OfficialBradly Kalb RussellOral Surgeon · (336) 765-9550
Enumeration DateMay 31, 2023
NPPES CertifiedMay 31, 2023
NPI 1649963042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
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.

1601 S HAWTHORNE RD, Winston Salem, NC 27103

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (Oral and Maxillofacial Surgery)
1601 S HAWTHORNE RD
WINSTON SALEM, NC 27103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649963042, enumerated as an "organization" on May 31, 2023.

The provider is located at 1601 S HAWTHORNE RD WINSTON SALEM, NC 27103 and the phone number is (336) 765-9550.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.