David Lee Russell in Fort Walton Beach - Pediatric Dentistry
David Lee Russell - NPI 1336269109
David Lee Russell is a Pediatric Dentistry in Fort Walton Beach, Florida. David Lee Russell practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for David Lee Russell is 1336269109. The last update date is 2007-07-08.
David Lee Russell's current location address is 14 Racetrack Rd Nw, Fort Walton Beach, Florida. You can contact this provider via phone number 8508633194 and fax number 8508638875. The mailing address for David Lee Russell is 14 Racetrack Rd Nw, Fort Walton Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Lee Russell |
|---|---|
| Address | 14 Racetrack Rd Nw, Fort Walton Beach, Florida |
| Phone Number | 8508633194 |
| Fax Number | 8508638875 |
| Sole Proprietor | Y |
| Credentials | DMD, MS. |
NPI Number Detail
| NPI Number | 1336269109 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 14 Racetrack Rd Nw |
|---|---|
| City | Fort Walton Beach |
| State | Florida (FL) |
| Post Code | 325471642 |
| Phone Number | 8508633194 |
| Fax Number | 8508638875 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 9126 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to David Lee Russell by the Centers for Medicare & Medicaid Services?
The David Lee Russell has been assigned the NPI (National Provider Identifier) 1336269109 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where David Lee Russell is physically located?
The David Lee Russell is situated at the following address: 14 Racetrack Rd Nw, Fort Walton Beach, FL 325471642.
What is David Lee Russell's area of expertise and its corresponding taxonomy classification?
The David Lee Russell's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
When did the David Lee Russell receive its 1336269109?
The David Lee Russell was issued its 1336269109 on 2007-03-29, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to David Lee Russell, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to David Lee Russell, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.