Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. CARL M. RUSSELL DMD, PHD
NPI 1902873276
Dentist - Orthodontics and Dentofacial Orthopedics in Canton, GA

Active since March 04, 2006PECOS Enrolled
6488 HICKORY FLAT HWY, CANTON, GA 30115(770) 720-8138(770) 720-7580 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Carl M. Russell Dmd, Phd NPPES

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

DR. CARL M. RUSSELL DMD, PHD (NPI 1902873276) is an individual orthodontics and dentofacial orthopedics provider in Canton, Georgia, licensed in Georgia (11115) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902873276
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. CARL M. RUSSELLCredential: DMD, PHD
Location Address6488 HICKORY FLAT HWYCanton, GA 30115-7235
Mailing Address6488 Hickory Flat HwyCanton, GA 30115-7235 · (770) 720-8138 · Fax (770) 720-7580
Fax(770) 720-7580
Sole ProprietorNo
Enumeration DateMarch 4, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1902873276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in GA · 11115
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
6488 HICKORY FLAT HWY, Canton, GA 30115

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Carl M. Russell Dmd, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Dentist (Pediatric Dentistry)
6488 HICKORY FLAT HWY
CANTON, GA 30115
Dentist (Orthodontics and Dentofacial Orthopedics)
6488 HICKORY FLAT HWY
CANTON, GA 30115

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 Carl Russell's NPI number?

The NPI number for Carl Russell is 1902873276. It was assigned to this individual provider in the NPPES registry on March 4, 2006.

Where is Carl Russell located?

Carl Russell practices at 6488 Hickory Flat Hwy, Canton, GA 30115. The listed phone number is (770) 720-8138.

What is Carl Russell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Carl Russell enrolled in Medicare?

Yes. Carl Russell is registered in the Medicare PECOS enrollment system.

What insurance does Carl Russell 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 Renaissance Dental list Carl 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 Carl Russell 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 29 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.