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Active NPI 1831244474 Individual Practitioner Male Practitioner

Dr. Russel Mulamba , DDS

Dentist - General Practice • Denison, TX

Professional Overview & Biography Verified Profile Summary

Dr. Russel Mulamba, DDS is a registered healthcare professional specializing in Dentist - General Practice in Denison, TX. Practice services are available at 2415 S AUSTIN AVE STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2415 S Austin Ave Ste 101

Denison, TX 750207742

Telephone 9037656850
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Denison, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
19 Specialists

Practicing in Denison, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 33393

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200305290 (IN)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 01, 2025

Registered at 2415 S AUSTIN AVE STE 101, DENISON, TX 750207742 (Tel: 9037656850)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2025

Dentist (License #33393 in TX)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 5122 W PIKE PLAZA RD, INDIANAPOLIS, IN 462543003 (Tel: 3172931595)

📍
Updated Business Mailing Address July 09, 2007

Registered at 5122 W PIKE PLAZA RD, INDIANAPOLIS, IN 462543003 (Tel: 3172931595)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as RUSSEL MULAMBA, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #12010225 in IN)

🟢
Initial NPI Registration & Enumeration January 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831244474
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2007
Last Update: October 01, 2025
Sole Proprietor: No

Mailing Address

5122 W Pike Plaza Rd

Indianapolis, IN 462543003

Phone: 3172931595

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.