David Russell, DMD, MS

NPI 1336269109 · on the registry since 2007 · sole proprietor

Practice

Address: 14 Racetrack Rd Nw
Fort Walton Beach, FL 32547
Phone: (850) 863-3194
Fax: (850) 863-8875
Organisation at this address: Iglepsych, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1223P0221X
1223P0221X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida