MEDICARE: DR. RUSSELL D MORRELL DMD, MDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223D0004X	Dental Anesthesiology	9030	TN

General Provider Information

NPI Number	:	1972830750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUSSELL D MORRELL DMD, MDS

Provider Business Mailing Address
First Line	:	120 S GROVE PARK RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38117-3104
Country	:	US
Telephone Number	:	901-491-0971
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 S GROVE PARK RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38117-3104
Country	:	US
Telephone Number	:	901-491-0971
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2009
Last Update Date	:	02/01/2017

Similar Medicare Providers

1356891675 — MONUMENT DENTAL ANESTHESIA PLLC
Practice Location Address:

120 S GROVE PARK RD
MEMPHIS, TN
38117-3104

Practice Phone: 901-491-0971
Practice Fax:

1891440095 — MRS. LASHELLE MCCLAIN LCSW
Practice Location Address:

3200 BROAD AVE
MEMPHIS, TN
38112-3104

Practice Phone: 901-567-3554
Practice Fax:

1467590182 — MS. BROOKE NICOLE STEWART LPC-MHSP
Practice Location Address:

3200 BROAD AVE
MEMPHIS, TN
38112-3104

Practice Phone: 901-619-7056
Practice Fax:

1902145956 — SIZEWISE RENTALS
Practice Location Address:

3104 LAKEVIEW
MEMPHIS, TN
38116

Practice Phone: 901-346-9899
Practice Fax: 901-346-9892

1730983933 — ALLIANCE HEALTHCARE SERVICES BROAD PHARMACY
Practice Location Address:

3200 BROAD AVE
MEMPHIS, TN
38112-3104

Practice Phone: 901-577-9400
Practice Fax:

1740177443 — JENNIFER STINSON APRN
Practice Location Address:

3200 BROAD AVE
MEMPHIS, TN
38112-3104

Practice Phone: 901-577-9400
Practice Fax:

Directions to “ DR. RUSSELL D MORRELL DMD, MDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.