TRAVIS RAY RUSSELL DDS
NPI 1679001085
Dentist in Mc Kenzie, TN

Q: What is Travis Russell's NPI number?

The NPI number for Travis Russell is 1679001085. It was assigned to this individual provider in the NPPES registry on May 30, 2017.

Q: What is Travis Russell's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Travis Russell was last updated on May 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 30, 2017

594 MAIN ST N, MC KENZIE, TN 38201(731) 415-3084 Get Directions Write a Review

NPPES record last updated: May 30, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Travis Ray Russell Dds NPPES

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

TRAVIS RAY RUSSELL DDS (NPI 1679001085) is an individual dentist in Mc Kenzie, Tennessee, licensed in Tennessee (10509) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1679001085

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameTRAVIS RAY RUSSELLCredential: DDS

Location Address594 MAIN ST NMc Kenzie, TN 38201-1707

Mailing Address594 Main St NMc Kenzie, TN 38201-1707

Phone(731) 415-3084

Sole ProprietorNo

Enumeration DateMay 30, 2017

✔ NPI 1679001085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TN · 10509

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

594 MAIN ST N, Mc Kenzie, TN 38201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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 Travis Russell's NPI number?

The NPI number for Travis Russell is 1679001085. It was assigned to this individual provider in the NPPES registry on May 30, 2017.

Where is Travis Russell located?

Travis Russell practices at 594 Main St N, Mc Kenzie, TN 38201. The listed phone number is (731) 415-3084.

What is Travis Russell's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Travis Russell accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 16 other insurers list Travis 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 Travis Russell was last updated on May 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.