WILLIAM RUSSELL DMD NPI 1649638362

NPI Information

NPI: 1649638362
Provider Name: WILLIAM RUSSELL, DMD
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
11645 BEACH BLVD STE 101
JACKSONVILLE, FL
ZIP 32246
Phone: (904) 999-9000
Get Directions

William Russell, DMD is a general practice dentist in Jacksonville, FL. The provider is 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. William Russell, DMD NPI is 1649638362. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11645 BEACH BLVD STE 101
JACKSONVILLE, FL
ZIP 32246-496
Phone: (904) 999-9000

The enumeration date for this NPI number is 2/9/2016 and was last updated on 10/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	1223G0001X	Dentist	General Practice	25610	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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