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KENNETH R,. RUSSELL, D.D.S. PA
NPI 1902081094
Dentist - General Practice in Winston Salem, NC

Active since January 08, 2008
1480 RYMCO DR STE B, WINSTON SALEM, NC 27103(336) 768-7940(336) 768-5985 Get Directions Write a Review

NPPES record last updated: January 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth R,. Russell, D.d.s. Pa NPPES

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

KENNETH R,. RUSSELL, D.D.S. PA (NPI 1902081094) is a healthcare organization registered as a general practice in Winston Salem, North Carolina and active in the NPI registry since January 2008. The organization lists Kenneth Ray Russell, President, as its authorized official.

NPPES Registry Identity

NPI1902081094
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKENNETH R,. RUSSELL, D.D.S. PA
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
Organization SubpartNo
Authorized OfficialKenneth Ray RussellPresident · (336) 768-7940
Enumeration DateJanuary 8, 2008
✔ NPI 1902081094 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 Identifiers 1

Medicaid890195BNC

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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.
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 R,. Russell, D.D.S. PA's NPI number?

The NPI number for Kenneth R,. Russell, D.D.S. PA is 1902081094. It was assigned to this organization in the NPPES registry on January 8, 2008.

Where is Kenneth R,. Russell, D.D.S. PA located?

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

What is Kenneth R,. Russell, D.D.S. PA's specialty?

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

What insurance does Kenneth R,. Russell, D.D.S. PA accept?

Health plans from Blue Cross and Blue Shield of NC list Kenneth R,. Russell, D.D.S. PA 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 R,. Russell, D.D.S. PA was last updated on January 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.