Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID LEE RUSSELL SR., DMD, MS.
Active Sole ProprietorDR. DAVID LEE RUSSELL SR., DMD, MS. is a Pediatric Dentistry healthcare provider located in FORT WALTON BEACH, Florida. NPI 1336269109 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · FORT WALTON BEACH, FL
Registration Details
- NPI Number
- 1336269109
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2007 (19.421196634268 yrs)
- Last Updated
- Jul 8, 2007
- License
-
9126 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14 RACETRACK RD NWFORT WALTON BEACH, FL, 325471642Browse FL providers · Browse ZIP 32547
- Phone
- 8508633194
- Fax
- 8508638875
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in FORT WALTON BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| DR. MARGHERITA GRAZIOSA DE MOYA | DDS | 1043238165 |
| ARTHUR MERKLE | DMD | 1083892038 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.