Dr. Russell W Ingram , DDS
Dentist - General Practice • Diboll, TX
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Russell Ingram has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Russell Ingram, DDS was a registered Dentist - General Practice practicing in Diboll, TX. Throughout an active medical career spanning 12 years, Dr. Ingram provided care at the practice location at 308 THOMPSON ST until profile deactivation on 2018-05-25.
Practice Location & Contact Primary Location
308 Thompson St
Diboll, TX 759412032
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Diboll, TX
Practicing in Diboll, TX (10570 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 25, 2018
NPI status registered as active in NPPES database
Registered at 308 THOMPSON ST, DIBOLL, TX 759412032 (Tel: 9368295589)
Registered at 308 THOMPSON ST, DIBOLL, TX 759412032 (Tel: 9368295589)
Recorded as RUSSELL INGRAM, DDS
Dentist (License #8292 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
308 Thompson St
Diboll, TX 759412032
Phone: 9368295589
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