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MR. JOHN DOUGLAS RUSSELL DDS
NPI 1902958077
Dentist in Shasta Lake City, CA

Active since January 17, 2007
4178 ASHBY COURT, SHASTA LAKE CITY, CA 96019(530) 275-2910(530) 275-9335 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. John Douglas Russell Dds NPPES

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

MR. JOHN DOUGLAS RUSSELL DDS (NPI 1902958077) is an individual dentist in Shasta Lake City, California, licensed in California (20042) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1902958077
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. JOHN DOUGLAS RUSSELLCredential: DDS
Location Address4178 ASHBY COURTShasta Lake City, CA 96019
Mailing Address4178 Ashby CourtShasta Lake City, CA 96019 · (530) 275-2910 · Fax (530) 275-9335
Phone(530) 275-2910
Fax(530) 275-9335
Sole ProprietorNo
Enumeration DateJanuary 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1902958077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 20042
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.
4178 ASHBY COURT, Shasta Lake City, CA 96019
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Other Identifiers 1

MedicaidB2004201CA

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 John Russell's NPI number?

The NPI number for John Russell is 1902958077. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is John Russell located?

John Russell practices at 4178 Ashby Court, Shasta Lake City, CA 96019. The listed phone number is (530) 275-2910.

What is John Russell's specialty?

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

When was this NPI record last updated?

The NPPES record for John Russell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.